Provider Demographics
NPI:1093980922
Name:DUBOS, JENNIFER ANNE (MA, LPC)
Entity Type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:ANNE
Last Name:DUBOS
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Gender:F
Credentials:MA, LPC
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Mailing Address - Street 1:1616 E ROOSEVELT RD
Mailing Address - Street 2:SUITE 8
Mailing Address - City:WHEATON
Mailing Address - State:IL
Mailing Address - Zip Code:60187-6850
Mailing Address - Country:US
Mailing Address - Phone:630-588-1201
Mailing Address - Fax:630-588-1209
Practice Address - Street 1:1616 E ROOSEVELT RD
Practice Address - Street 2:SUITE 8
Practice Address - City:WHEATON
Practice Address - State:IL
Practice Address - Zip Code:60187-6850
Practice Address - Country:US
Practice Address - Phone:630-588-1201
Practice Address - Fax:630-588-1209
Is Sole Proprietor?:No
Enumeration Date:2008-04-22
Last Update Date:2008-04-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IL178.004903101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional