Individual
JENNY NILSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.C.
Contact information
Practice address
22 PAMELA RD, LAKE ZURICH, IL 60047-1229
(847) 361-1168
Mailing address
1440 RENAISSANCE DR, 440, PARK RIDGE, IL 60068-1356
(312) 624-9815
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
178.011151
IL
Other
Enumeration date
10/14/2015
Last updated
10/14/2015
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