Individual
DR. JEENA GEORGE JACOB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
1173 ANCIENT OAKS CT, BARTLETT, IL 60103-1711
(847) 912-8958
Mailing address
1173 ANCIENT OAKS CT, BARTLETT, IL 60103-1711
(847) 912-8958
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071-006551
IL
Other
Enumeration date
07/20/2006
Last updated
01/02/2008
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