Individual
DR. JENNA LAUREN BAUER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
2858 W DIVERSEY AVE STE 1, CHICAGO, IL 60647-1871
(872) 208-8833
Mailing address
901 STONEGATE DR, HIGHLAND PARK, IL 60035-5146
(872) 208-8833
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
103TC0700X
Clinical Psychologist
Primary
071.008558
IL
Other
Enumeration date
08/23/2007
Last updated
01/30/2026
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