Jessica Rose Gentry
Professional Counselor
111 N Wabash Ave Ste 1400
Chicago
, Illinois 60602-3074
Jessica Rose Gentry
Professional Counselor
111 N Wabash Ave Ste 1400
Chicago
, Illinois 60602-3074
(312) 284-4505
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About
Features
Specialties
- Professional Counselor
Languages spoken
- English
Location
First Address
- Jessica Rose Gentry
- 111 N Wabash Ave Ste 1400
- Chicago, IL
- Zip : 60602-3074
- Fax : (312) 284-4505
- Phone : (312) 436-1657
Second Address
- Jessica Rose Gentry
- 111 N Wabash Ave Ste 1400
- Chicago, IL
- Zip : 60602-3074
- Fax : (312) 284-4505
- Phone : (312) 436-1657
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 101YP2500X | Professional Counselor | IL |
National Provider Identifier
| NPI | 1003416124 |
|---|---|
| Provider Name | Jessica Rose Gentry |
| First Address | Chicago, IL 60602-3074 |
| Second Address | Chicago, IL 60602-3074 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/10/2020 |
| Last Update Date | 28/10/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.