Mccammack, Jillian

Mccammack, Jillian is an individual health care provider with primary practice located at 50 Northgate Industrial Dr , Granite City IL 62040-6805. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Counselor is her primary health care specialty. Mccammack, Jillian can be contacted via phone (618) 877-4420.

Contact Information

Primary practice address
50 Northgate Industrial Dr Granite City IL 62040-6805
Phone: (618) 877-4420
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 270000278 Illinois
Behavioral Health & Social Service Providers / Professional 101YP2500X 178018113 Illinois
Behavioral Health & Social Service Providers / Counselor 101Y00000X 178.018113 Illinois

Profile Details

NPI number 1093328841
LBN Legal business name Mccammack, Jillian
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2020
Last updated Aug 17th, 2023 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1093328841 NPPES
Illinois MEDICAID 4A00-IPI-032

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