| NPI | 1518493139 |
|---|---|
| Former Name | JESSICA LOVE JORDAN-BANKS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.014995) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IL 35867) |
| 101YM0800X Counselor, Mental Health (Licence: IL 180.014995) | |
| Enumeration Date | 2017-05-02 |
| Last Update Date | 2025-07-04 |