Individual
JENNIFER NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.C.P.C., C.A.D.C.
Contact information
Practice address
1200 S YORK ST STE 3250, ELMHURST, IL 60126-5629
(630) 336-3512
Mailing address
1200 S YORK ST STE 3250, ELMHURST, IL 60126-5629
(630) 336-3512
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
30340
IL
101YP2500X
Professional Counselor
Primary
180010004
IL
Other
Enumeration date
02/01/2017
Last updated
02/01/2017
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