Individual
CAROL ANN JABS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149000724
IL
106H00000X
Marriage & Family Therapist
166000409
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001632509
BCBS PROVIDER NUMBER
IL
Enumeration date
12/21/2006
Last updated
09/15/2014
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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