JESSICA MARIE DERGANCE

LIFE BALANCE COUNSELING AND WELLNESS INC

Dr JESSICA MARIE DERGANCE is a female medical professional, specializing in Clinical Social Worker. She graduated in 2007.

Contact

LIFE BALANCE COUNSELING AND WELLNESS INC

2428 CHARTRES ST
LA SALLE
IL
613011107

Tel: 3098301096

JESSICA MARIE DERGANCE Information

Npi 1811293095
Pac Id 8628253820
Professional Enrollment Id I20110504000205
Last Name DERGANCE
First Name JESSICA
Middle Name MARIE
Suffix
Gender F
Credential
Medical School Name OTHER
Graduation Year 2007
Primary Specialty CLINICAL SOCIAL WORKER
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name LIFE BALANCE COUNSELING AND WELLNESS INC
Group Practice Pac Id 8325397904
Number Of Group Practice Members 2
Line 1 Street Address 2428 CHARTRES ST
Line 2 Street Address
Marker Of Address Line 2 Suppression
City LA SALLE
State IL
Zip Code 613011107
Phone Number 3098301096
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

Do you know JESSICA MARIE DERGANCE?

Leave your comments, questions and feedback on this listing below. You can also correct any listing errors or omissions.