Individual
JENNIFER LYN THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LCPC, LASOP
Contact information
Practice address
1200 W 35TH ST STE 346, CHICAGO, IL 60609-1305
(773) 633-4841
Mailing address
1200 W 35TH ST STE 346, CHICAGO, IL 60609-1305
(773) 633-4841
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
178.017130
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
178.017130
LPC
IL
Enumeration date
08/17/2021
Last updated
09/27/2022
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