JESSICA MILBURN LCPC - NPI 1023552023 - Counselor in Mattoon, IL

Q: What is Jessica Milburn's NPI number?

The NPI number for Jessica Milburn is 1023552023. It was assigned to this individual provider in the NPPES registry on December 9, 2016.

Q: What is Jessica Milburn's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Q: When was this NPI record last updated?

The NPPES record for Jessica Milburn was last updated on December 9, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Jessica Milburn Lcpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JESSICA MILBURN LCPC (NPI 1023552023) is an individual professional provider in Mattoon, Illinois, licensed in Illinois (178010281) and active in the NPI registry since December 2016.

NPPES Registry Identity

NPI1023552023

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameJESSICA MILBURNCredential: LCPC

Location Address750 BROADWAY AVE EMattoon, IL 61938-4610

Mailing Address750 Broadway Ave EMattoon, IL 61938-4610 · (217) 238-5700 · Fax (217) 238-5767

Phone(217) 238-5700

Fax(217) 238-5767

Sole ProprietorNo

Enumeration DateDecember 9, 2016

✔ NPI 1023552023 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in IL · 178010281

750 BROADWAY AVE E, Mattoon, IL 61938

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KIAYA LOY MS, MHP

Counselor