Lord, Jeridith Ann

Lord, Jeridith Ann is an individual health care provider with primary practice located at 226 W Judd St , Woodstock IL 60098-3158. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Lord, Jeridith Ann can be contacted via phone (815) 575-8860.

Contact Information

Primary practice address
226 W Judd St Woodstock IL 60098-3158
Phone: (815) 575-8860
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 180.013771 Illinois

Profile Details

NPI number 1932743663
LBN Legal business name Lord, Jeridith Ann
Credentials LCPC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 6th, 2019
Last updated Sep 9th, 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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