Individual
JENNA LYNN FASH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
684 W BOUGHTON RD STE 106, BOLINGBROOK, IL 60440-1781
(630) 410-9578
(630) 296-0749
Mailing address
684 W BOUGHTON RD STE 106, BOLINGBROOK, IL 60440-1781
(630) 410-9578
(630) 296-0749
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
178006305
IL
Other
Enumeration date
10/15/2009
Last updated
07/21/2022
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