Individual
JACQUELYN WEINER-O'SHEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, ALMFT, NCC
Contact information
Practice address
106 S SCOVILLE AVE APT 2B, OAK PARK, IL 60302-4603
(312) 404-1799
Mailing address
106 S SCOVILLE AVE APT 2B, OAK PARK, IL 60302-4603
(312) 404-1799
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
178.015398
IL
106H00000X
Marriage & Family Therapist
208000752
IL
Other
Enumeration date
05/18/2020
Last updated
05/18/2020
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