| Jp Therapy, Pllc | |
|
1167 Wilmette Ave Ste 201 Wilmette IL 60091-2643 | |
| (847) 602-3216 | |
| Not Available |
| Full Name | Jp Therapy, Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1167 Wilmette Ave Ste 201, Wilmette, Illinois |
| Authorized Official Name and Position | Jennifer Kristine Picciuca (OWNER/LCSW CADC) |
| Authorized Official Contact | 8476023216 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jp Therapy, Pllc 1167 Wilmette Ave Ste 201 Wilmette IL 60091-2643 Ph: (847) 602-3216 | Jp Therapy, Pllc 1167 Wilmette Ave Ste 201 Wilmette IL 60091-2643 Ph: (847) 602-3216 |
| NPI Number | 1023602067 |
|---|---|
| Provider Enumeration Date | 02/20/2021 |
| Last Update Date | 02/20/2021 |
| Certification Date | 02/19/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023602067 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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