Individual
DR. JENNIFER JACKMAN CHARLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
1 TIFFANY PT, SUITE 117, BLOOMINGDALE, IL 60108-2936
(847) 854-8200
Mailing address
1 TIFFANY POINTE, BLOOMINGDALE, IL 60108
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071.007939
IL
Other
Enumeration date
09/03/2014
Last updated
07/15/2016
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