Mitchell, Jennifer

Mitchell, Jennifer is an sole proprietor health care provider with primary practice located at 2108 23Rd St , Rockford IL 61108-6015. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Mitchell, Jennifer can be contacted via phone (815) 440-8687.

Contact Information

Primary practice address
2108 23Rd St Rockford IL 61108-6015
Phone: (815) 440-8687
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 166.000725 Illinois

Profile Details

NPI number 1669093001
LBN Legal business name Mitchell, Jennifer
Credentials LMFT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 27th, 2020
Last updated Apr 27th, 2020 - about 6 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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