Moody, Jill Adriane

Moody, Jill Adriane is an individual health care provider with primary practice located at 12 Health Services Dr , Dekalb IL 60115-9637. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Moody, Jill Adriane can be contacted via phone (815) 756-4875.

Contact Information

Primary practice address
12 Health Services Dr Dekalb IL 60115-9637
Phone: (815) 756-4875
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 178.010378 Illinois

Profile Details

NPI number 1699179820
LBN Legal business name Moody, Jill Adriane
Credentials M.S., LPC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2014
Last updated Oct 17th, 2014 - about 10 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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