Deron, Jessica Viviann

Deron, Jessica Viviann is an sole proprietor health care provider with primary practice located at 404 W Boughton Rd Ste A , Bolingbrook IL 60440-1898. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Deron, Jessica Viviann can be contacted via phone (630) 759-4000.

Contact Information

Primary practice address
404 W Boughton Rd Ste A Bolingbrook IL 60440-1898
Phone: (630) 759-4000
Fax: (630) 759-5220
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 178012473 Illinois
Behavioral Health & Social Service Providers / Professional 101YP2500X 180014528 Illinois

Profile Details

NPI number 1629507751
LBN Legal business name Deron, Jessica Viviann
Credentials LCPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 12th, 2017
Last updated Jun 17th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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