Individual provider · Type 1 NPI
Jessica N. Roosevelt, LCSW
Mental Health Counselor · Grayville, IL
NPI number
1467028241
Active
Practice location
426 W Commerce St
Grayville, IL 62844-1570
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
About NPI 1467028241
Jessica N. Roosevelt, LCSW's National Provider Identifier is 1467028241, issued on Jun 2, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Grayville, IL. The record was last updated on Jun 2, 2021.