Mieszala, Jennifer Eileen

Mieszala, Jennifer Eileen is an sole proprietor health care provider with primary practice located at 1400 Renaissance Dr #101, Park Ridge IL 60068-1329. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Mieszala, Jennifer Eileen can be contacted via phone (847) 963-9639.

Contact Information

Primary practice address
1400 Renaissance Dr #101 Park Ridge IL 60068-1329
Phone: (847) 963-9639
Fax: (312) 902-2665
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 20754 Illinois
Behavioral Health & Social Service Providers / Social Worker 104100000X 150013502 Illinois
Behavioral Health & Social Service Providers / Clinical 1041C0700X 149016728 Illinois

Profile Details

NPI number 1477987915
LBN Legal business name Mieszala, Jennifer Eileen
Credentials LCSW, CADC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 31st, 2013
Last updated Jun 24th, 2014 - about 11 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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