Cassandra Marie Jibben
Individual provider Active NPI Mental Health Counselor · Mount Carroll, IL
NPI 1730370784 · NPPES record last updated Aug 6, 2007
Key facts
- NPI
- 1730370784
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 1126 Healthcare Dr
Mount Carroll, IL 61053-1469 - Phone
- (815) 244-4200
- NPI assigned
- Aug 6, 2007
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
1126 Healthcare Dr
Mount Carroll, IL 61053-1469
Mailing address
1308 14TH Ave
Sterling, IL 61081-2644
Other providers in Mount Carroll, IL
- Amanda K Honchell I
- John Allan Hutchison
- Margaret O Hutson
- Cody Hutton
- Michelle Leigh Jensen
- Holly M Koser
- Dana J Mackenzie
- Brittany Mackey
- Natalie Kay Marshall
- Paula Kay Maxwell
All providers in Mount Carroll, IL · Mental Health Counselor in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 6, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.