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

Primary practice address
1125 Cleveland St Evanston IL 60202
Phone: (224) 830-9800
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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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