Black, Jennifer Lynn
Black, Jennifer Lynn is an sole proprietor health care provider with primary practice located at 1125 Cleveland St , Evanston IL 60202. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Other Service Providers / Specialist, Other Service Providers / Health Educator, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Black, Jennifer Lynn can be contacted via phone (224) 830-9800.Contact Information
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | Illinois | |
Other Service Providers / Specialist | 174400000X | ||
Other Service Providers / Health Educator | 174H00000X | ||
Behavioral Health & Social Service Providers / Professional | 101YP2500X | 180011432 | Illinois |
Profile Details
NPI number | 1336385103 |
---|---|
LBN Legal business name | Black, Jennifer Lynn |
Credentials | LCPC, CCMHC, LBS1 |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Dec 30th, 2008 |
Last updated | May 23rd, 2018 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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