Jessica Hougham, MA

Individual provider Active NPI Mental Health Counselor · Newton, IL

NPI 1104149111 · NPPES record last updated Mar 4, 2010

Key facts

NPI
1104149111
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
Practice address
106 Edwards St
Newton, IL 62448-1736
Phone
(618) 783-4154
Fax
(618) 783-2339
NPI assigned
Mar 4, 2010
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Arts

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Yes

Addresses

Primary practice location

106 Edwards St
Newton, IL 62448-1736

Mailing address

106 Edwards St
Newton, IL 62448-1736
Phone (618) 783-4154

Other providers in Newton, IL

All providers in Newton, IL · Mental Health Counselor in Illinois

Sources for this page

Verify at the official NPI Registry.