Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jessica M Crunkleton

Individual provider Mental Health Counselor · NPI 1487308102

Jessica M Crunkleton is a Mental Health Counselor in Belleville, Illinois. Practices as a sole proprietor. Licensed in Illinois, Indiana and Missouri.

Licensed in
IL, IN, MO
In the registry since
2022
Specialties on file
5
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Practice location Address checks out

2427 Pro Tour Dr
Belleville, IL 62220-4853
Phone: (219) 386-6645
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 180.014386 (IL)
Mental Health Counselor Taxonomy 101YM0800X · Licence 2021028230 (MO)
Mental Health Counselor Taxonomy 101YM0800X · Licence 35002024A (IN)
Mental Health Counselor Taxonomy 101YM0800X · Licence 39003344A (IN)
Mental Health Counselor Taxonomy 101YM0800X · Licence 2021028229 (MO)

Record details

NPI number1487308102
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 10, 2022
Last updated in NPPESJuly 16, 2022
Certification dateJuly 16, 2022
Mailing address5343 Belleville Crossing St # 1015, Belleville, IL 62226-3108

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