| Doctor Name: | JESSICA LORRAINE APPLETON |
| NPI Number: | 1205172681 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC |
| License Number: | 178.008586 |
| Business Practice Address: | 9649 W 55th St Countryside, IL - 605253632 |
| Business Phone Number: | 7084828646 |
| Business Fax Number: | |
| Mailing Address: | 9649 W 55th St, COUNTRYSIDE |
| State: | IL |
| Postal Code: | 605253632 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 12/12/2012 |
| NPI Last Update Date: | 02/26/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 178.008586 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |