Deborah Lubertha Jellema in Lansing - Counselor
Deborah Lubertha Jellema - NPI 1740446293
Deborah Lubertha Jellema is a Counselor in Lansing, Illinois. Deborah Lubertha Jellema practices all healthcare services and medical treatments related to Counselor. The NPI Number for Deborah Lubertha Jellema is 1740446293. The last update date is 2008-08-04.
Deborah Lubertha Jellema's current location address is 2325 177th St, Lansing, Illinois. You can contact this provider via phone number 7088957310 and fax number 7088957602. The mailing address for Deborah Lubertha Jellema is 2325 177th St, Lansing, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Deborah Lubertha Jellema |
|---|---|
| Address | 2325 177th St, Lansing, Illinois |
| Phone Number | 7088957310 |
| Fax Number | 7088957602 |
| Sole Proprietor | Y |
| Credentials | L.C.P.C., |
NPI Number Detail
| NPI Number | 1740446293 |
|---|---|
| Provider Enumeration Date | 2008-08-04 |
| Last Updated Date | 2008-08-04 |
Provider Mailing Address Detail
| Address | 2325 177th St |
|---|---|
| City | Lansing |
| State | Illinois (IL) |
| Post Code | 604381722 |
| Phone Number | 7088957310 |
| Fax Number | 7088957602 |
Provider's Primary Taxonomy Detail
| Speciality | Counselor |
|---|---|
| Taxonomy | 101Y00000X |
| Licence No | 180005849 |
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Definition: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supe |
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What is the unique identifier code issued to Deborah Lubertha Jellema by the Centers for Medicare & Medicaid Services?
The Deborah Lubertha Jellema has been assigned the NPI (National Provider Identifier) 1740446293. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Deborah Lubertha Jellema's facilities are geographically located?
The facilities of Deborah Lubertha Jellema are physically situated at the following location: 2325 177Th St, Lansing, IL, 604381722.
What is Deborah Lubertha Jellema's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Deborah Lubertha Jellema is Counselor, and the taxonomy code that categorizes this field of expertise is 101Y00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1740446293 to Deborah Lubertha Jellema?
The Centers for Medicare & Medicaid Services assigned the 1740446293 to Deborah Lubertha Jellema on 2008-08-04.
When was the information related to Deborah Lubertha Jellema most recently updated or refreshed?
The details pertaining to the Deborah Lubertha Jellema, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-08-04.