Healthcare Provider Details

I. General information

NPI: 1346740172
Provider Name (Legal Business Name): JESSICA A LOMAS LCPC, NCC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/19/2018
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

114 E EVERETT ST UNIT 238
DIXON IL
61021
US

IV. Provider business mailing address

2424 40TH AVE APT 5
MOLINE IL
61265-7215
US

V. Phone/Fax

Practice location:
  • Phone: 309-912-3231
  • Fax:
Mailing address:
  • Phone: 309-558-9050
  • Fax: 888-243-3903

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: