Olson, Jennifer Shanti

Olson, Jennifer Shanti is an individual health care provider with primary practice located at 8616 Northern Ave , Rockford IL 61107-5309. 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. Olson, Jennifer Shanti can be contacted via phone (815) 332-6000.

Contact Information

Primary practice address
8616 Northern Ave Rockford IL 61107-5309
Phone: (815) 332-6000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 166000872 Illinois

Profile Details

NPI number 1770820128
LBN Legal business name Olson, Jennifer Shanti
Credentials LMFT
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 4th, 2013
Last updated Jan 4th, 2013 - about 13 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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