Individual
JENNIFER ANN LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
121 S WILKE RD, ARLINGTON HEIGHTS, IL 60005-1533
(847) 530-0484
Mailing address
72 N SMITH ST, PALATINE, IL 60067-5047
(847) 530-0484
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
178.005149
IL
Other
Enumeration date
06/21/2015
Last updated
06/22/2015
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