| Jonathan Connor Self, | |
|
640 2nd Ave, Dixon, IL 61021-1914 | |
| (630) 770-8983 | |
| Not Available |
| Full Name | Jonathan Connor Self |
|---|---|
| Gender | Male |
| Speciality | Counselor - School |
| Location | 640 2nd Ave, Dixon, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649069816 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YS0200X | Counselor - School | 899731 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jonathan Connor Self, 640 2nd Ave, Dixon, IL 61021-1914 Ph: (630) 770-8983 | Jonathan Connor Self, 640 2nd Ave, Dixon, IL 61021-1914 Ph: (630) 770-8983 |
Michelle Gonzalez, Counselor Medicare: Not Enrolled in Medicare Practice Location: 322 Depot Ave, Dixon, IL 61021 Phone: 815-288-6057 | |
Robert Lovus Dillon Ii, Counselor Medicare: Not Enrolled in Medicare Practice Location: 325 Il Route 2, Dixon, IL 61021 Phone: 815-284-9380 | |
Rae Lynn Metzler8, Counselor Medicare: Not Enrolled in Medicare Practice Location: 325 Illinois Rt 2, Dixon, IL 61021 Phone: 815-284-6611 | |
Madison Wallace, MHP Counselor Medicare: Not Enrolled in Medicare Practice Location: 325 Illinois Rt 2, Dixon, IL 61021 Phone: 815-284-6611 | |
Ms. Leigh Terrell, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 325 Il Route 2, Dixon, IL 61021 Phone: 815-284-6611 Fax: 815-284-6598 | |
Stephanie Marie Binkley, Counselor Medicare: Not Enrolled in Medicare Practice Location: 325 Il Route 2, Dixon, IL 61021 Phone: 815-284-6611 | |
Genevieve Gassner, Counselor Medicare: Not Enrolled in Medicare Practice Location: 325 Illinois Rt 2, Dixon, IL 61021 Phone: 815-284-6611 |