Individual provider · Type 1 NPI

Jessica M. Douglass, MS, CADC

Addiction (Substance Use Disorder) Counselor · Dixon, IL

NPI number 1295213882 Active

Practice location

325 Il Route 2
Dixon, IL 61021-9118

Other practice locations

  • 922 Washinton Street, Dixon, IL 61021 · (815) 441-9475

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X34621 (IL)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1295213882

Jessica M. Douglass, MS, CADC's National Provider Identifier is 1295213882, issued on Aug 6, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Dixon, IL. The record was last updated on Aug 6, 2018.