Jessica Beasley Gunther Valid NPI

Individual provider · Clinical Social Worker · O Fallon, IL

NPI

1417596156

Type

Individual (Type 1)

Primary specialty

Clinical Social Worker (Social Worker)

Specialty group

Behavioral Health & Social Service Providers

Taxonomy code

1041C0700X

License number

149.011191 (IL)

Sex

Female

Sole proprietor

No

Enumerated

2019-12-28

Last updated

2019-12-28