Provider Demographics
NPI:1407977135
Name:NEMECZ, JESSICA IRENE (MA, LPC, QMHP)
Entity Type:Individual
Prefix:
First Name:JESSICA
Middle Name:IRENE
Last Name:NEMECZ
Suffix:
Gender:F
Credentials:MA, LPC, QMHP
Other - Prefix:
Other - First Name:JESSICA
Other - Middle Name:IRENE
Other - Last Name:JONES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, LCPC, QMHP
Mailing Address - Street 1:505 N 3RD ST
Mailing Address - Street 2:
Mailing Address - City:SAINT JOSEPH
Mailing Address - State:IL
Mailing Address - Zip Code:61873-9567
Mailing Address - Country:US
Mailing Address - Phone:217-431-8825
Mailing Address - Fax:217-431-8827
Practice Address - Street 1:3545 N VERMILION ST
Practice Address - Street 2:
Practice Address - City:DANVILLE
Practice Address - State:IL
Practice Address - Zip Code:61832-1100
Practice Address - Country:US
Practice Address - Phone:217-651-6801
Practice Address - Fax:217-651-6802
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-02
Last Update Date:2023-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1800007303101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional