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NPI 1184343642

NPI 1184343642 : JESSICA JONES LCSW, CADC : CRYSTAL LAKE, IL

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General NPI Number Information
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    NPI Number           |    1184343642
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    Entity Type          |    Individual 
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    Provider Name        |    JESSICA JONES LCSW, CADC
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/26/2022
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    Last Update Date     |    01/12/2026
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Provider Practice Location Address
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    Address Line         |    44 N VIRGINIA ST STE 2A 
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    City                 |    CRYSTAL LAKE
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    State                |    IL
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    Zip                  |    60014-4154
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    Country              |    US
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    Telephone            |    815-575-8860
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    231 SIERRA PASS DR 
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    City                 |    SCHAUMBURG
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    State                |    IL
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    Zip                  |    60194-4982
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    Country              |    US
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    Telephone            |    847-293-5830
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    1041C0700X
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    Taxonomy Name        |    Clinical Social Worker
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    License Number       |    149.027514
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    License Number State |    IL
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Taxonomy #2
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    Taxonomy Code        |    101YA0400X
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    Taxonomy Name        |    Addiction (Substance Use Disorder) Counselor
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    License Number       |    36502
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    License Number State |    IL
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Taxonomy #3
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    Taxonomy Code        |    104100000X
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    Taxonomy Name        |    Social Worker
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    License Number       |    150.108048
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    License Number State |    IL
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