NPI 1023345733

Jennifer Alice Boender, LPC

Practitioner Professional Counselor Oak Forest, IL

Practice location

Address: 15601 Cicero Ave Suite 103, Oak Forest, IL 60452-3635
Phone: (708) 687-3479

Registered specialties

Professional Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YP2500X Licence 178006381 (IL)

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Registry record

NPI: 1023345733
Entity type: Individual
Sex (as registered): Female
NPI issued: 17 Nov 2009
Record last updated: 17 Nov 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.