Individual provider · Type 1 NPI
Jessica Michelle Bulthouse, M.S., LCPC
Professional Counselor · Charleston, IL
NPI number
1659620458
Active
Practice location
304 8th St
Charleston, IL 61920-1504
Mailing address
311 W Main St
Oakland, IL 61943-7109
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor | 101YP2500X | 178.008309 (IL) |
| Professional Counselor Primary | 101YP2500X | 180009706 (IL) |
Professional Counselor: Definition to come...
2 other providers at this address
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About NPI 1659620458
Jessica Michelle Bulthouse, M.S., LCPC's National Provider Identifier is 1659620458, issued on Sep 7, 2012. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Charleston, IL. The record was last updated on May 18, 2015.