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1326654146
JESSA CARLSON
PEORIA, IL
NPI
1326654146
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Former Name
JESSA WAKID
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: IL 178.016220)
Enumeration Date
2020-09-17
Last Update Date
2020-09-17
Business Address
JESSA CARLSON MA, LPC, NCC
3516 W HARMON HWY
PEORIA, IL 61604-5925
Phone number: 309-712-3962
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Mailing Address
JESSA CARLSON MA, LPC, NCC
3516 W HARMON HWY
PEORIA, IL 61604-5925
Phone number: 309-712-3962
Copy
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