Doctor Name: | MRS. JESSICA ANN PILLING |
NPI Number: | 1013249309 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | L.M.H.C. |
License Number: | 001202 |
Business Practice Address: | 600 42nd St Des Moines, IA - 503122701 |
Business Phone Number: | 5152558399 |
Business Fax Number: | 5152558405 |
Mailing Address: | 2213 Grand Ave, DES MOINES |
State: | IA |
Postal Code: | 503125305 |
Phone Number: | 5152373974 |
Fax Number: | 5158832692 |
NPI Enumeration Date: | 02/11/2010 |
NPI Last Update Date: | 03/23/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 001202 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |