Individual provider · Type 1 NPI
Jessica Nicole Rodgers, ED.S, M.ED, LCMHC
Mental Health Counselor · Chicago, IL
NPI number
1184904245
Active
Practice location
4649 N Broadway
Chicago, IL 60640
Mailing address
8322 Pineville Matthews Rd Ste 602
Charlotte, NC 28226-4823
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | None listed |
| Mental Health Counselor Primary | 101YM0800X | 9203 (NC) |
Mental Health Counselor: Definition to come...
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About NPI 1184904245
Jessica Nicole Rodgers, ED.S, M.ED, LCMHC's National Provider Identifier is 1184904245, issued on Aug 22, 2011. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Chicago, IL. The record was last updated on Sep 29, 2022.