| Dr. Jackie Jiang Counseling & Evaluation, Llc | |
|
3816 27th St Moline IL 61265-6343 | |
| (309) 944-7833 | |
| (309) 403-0554 |
| Full Name | Dr. Jackie Jiang Counseling & Evaluation, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 3816 27th St, Moline, Illinois |
| Authorized Official Name and Position | Zhujun Jiang (OWNER) |
| Authorized Official Contact | 3092217659 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Jackie Jiang Counseling & Evaluation, Llc 3816 27th St Moline IL 61265-6343 Ph: (309) 944-7833 | Dr. Jackie Jiang Counseling & Evaluation, Llc 3816 27th St Moline IL 61265-6343 Ph: (309) 944-7833 |
| NPI Number | 1962862953 |
|---|---|
| Provider Enumeration Date | 03/03/2016 |
| Last Update Date | 03/03/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962862953 | NPI | - | NPPES |
| 1598954588 | Other | IL | NPI OF THE CLINICIAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 180007661 (Illinois) | Primary |
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