| Provider / Organization | NPI | Date Certified |
|---|---|---|
| JESSICA SAMPSON | 1255940342 | 2020-07-24 |
Jessica Sampson is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1255940342. Registration indicates Jessica Sampson is a provider of access to mental health/behavioral health providers services with a specialization in Behavioral Health & Social Service Providers, Counselor (Behavioral Health & Social Service Providers, Counselor) (Counselor, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Counselor, Behavioral Health & Social Service Providers)
| Entity Type | Individual |
| Provider Name | Jessica Sampson M.S. |
| Practice Office Address | 4252 CORAL BERRY PATH APT 302 GURNEE, IL US |
| Practice Office Telephone | 9145888658 |
| Mailing Address | 4252 CORAL BERRY PATH APT 302 GURNEE, IL 600319318 US |
| Business Telephone | 9145888658 |
| encrypted email [] | [email protected] | Direct Amita Health |
| Code | Practice | License No State |
|---|---|---|
| 101Y00000X PRIMARY | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Counselor Behavioral Health & Social Service Providers Counselor Counselor Behavioral Health/Substance Abuse/Psychiatry Counselor Behavioral Health & Social Service Providers |