Doctor Name: | MS. JESSIE KATE HUEBNER |
NPI Number: | 1134491400 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | 150.013031 |
Business Practice Address: | 600 Spring Hill Ring Rd Suite 100 West Dundee, IL - 601187300 |
Business Phone Number: | 8475331077 |
Business Fax Number: | |
Mailing Address: | 1355 Todd Farm Dr, #104 ELGIN |
State: | IL |
Postal Code: | 601231767 |
Phone Number: | 8475331077 |
Fax Number: | |
NPI Enumeration Date: | 02/02/2012 |
NPI Last Update Date: | 04/22/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 150.013031 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |