Individual
JENNIFER ANN OH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
120 S MARION ST, OAK PARK, IL 60302-2809
(708) 383-7500
Mailing address
1115 S SCOVILLE AVE, OAK PARK, IL 60304-2129
(773) 754-1112
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
22311
IL
101YP2500X
Professional Counselor
178003708
IL
101YP2500X
Professional Counselor
Primary
180008689
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1649481839
BLUE CROSS BLUE SHIELD
IL
Enumeration date
12/03/2008
Last updated
07/02/2013
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