Jordana Elizabeth Ballesteros, LCPC, CADC
Counselor, Professional in Gurnee, IL. Individual provider (NPI-1).
NPI number1922788454
StatusActive
Last updated in NPPESAug 5, 2024
Details
- NPI
- 1922788454
- Entity type
- Individual (NPI-1)
- Name
- Jordana Elizabeth Ballesteros
- Credential
- LCPC, CADC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 19, 2023
- Certification date
- Aug 5, 2024
- Last updated
- Aug 5, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 180.012095 | IL | Yes |
Practice location
37165 N Grandwood DriveGurnee, IL 60031-1347
Phone 224-538-1819
Mailing address
37165 N Grandwood DrGurnee, IL 60031-1352
Phone 224-538-1819
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