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Contact Information

JESSICA WHELAN LLC
207 N MAIN ST STE 109B
COLUMBIA, IL62236-1755
 Phone: 314-470-1220
 Fax: 833-914-0432
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
 

Addiction Medicine

2084A0401X 79 Physician/Addiction Medicine
 

Behavioral Neurology & Neuropsychiatry

2084B0040X
 

Brain Injury Medicine

2084P0301X 86 Physician/Neuropsychiatry
 

Case Manager/Care Coordinator

171M00000X
 

Child & Adolescent Psychiatry

2084P0804X 86 Physician/Neuropsychiatry
 

Counseling

103TC1900X 62 Psychologist, Clinical
 

Counselor

101Y00000X
 

Group Psychotherapy

103TP2701X 62 Psychologist, Clinical
 

In Home Supportive Care

253Z00000X
 

Multi-Specialty

261QM1300X 70 Clinic or Group Practice
 

Nursing Care

251J00000X
 

Pharmacist

183500000X
 

Public Health & General Preventive Medicine

2083P0901X 84 Physician/Preventive Medicine
 

Research

261QR1100X
Indicates primary specialty

NPI Profile & details for JESSICA WHELAN LLC · (Female)

NPI Number 1760018774
Status Active
Credentials
Entity Individual
Enumeration date 03/21/2020
Last updated 11/19/2021 - About 5 years ago
Sole proprietor 1 Not specified
Identifiers
  • MO Medicaid 500089936
  • ID Other 735518 MCKESSON SUBMITTER ID
  • MO Other 6982159 AETNA - MEDICAID
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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