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

Jessica Revord

Individual provider Counselor · NPI 1760889810

Jessica Revord is a Counselor in Waukegan, Illinois. Licensed in Illinois. Registered with an NPI since 2014.

Licensed in
IL
In the registry since
2014
Specialties on file
2
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Practice location Address checks out

3010 Grand Ave
Waukegan, IL 60085-2321
Phone: (847) 377-8296
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 178.010397 (IL)
Counselor Taxonomy 101Y00000X · Licence 338784 (IL)

Record details

NPI number1760889810
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 3, 2014
Last updated in NPPESDecember 3, 2014

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