| Doctor Name: | DR. JAMES LESTER JORGENSON |
| NPI Number: | 1457367054 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | ED,D, LCPC |
| License Number: | |
| Business Practice Address: | 108 John St 2nd Floor North Aurora, IL - 605421600 |
| Business Phone Number: | 6308011669 |
| Business Fax Number: | 6308011675 |
| Mailing Address: | 101 Cobblestone Trl, DEKALB |
| State: | IL |
| Postal Code: | 601155207 |
| Phone Number: | 8157487696 |
| Fax Number: | |
| NPI Enumeration Date: | 08/01/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |