Most Relevant Information
Provider Data
| NPI Number: | 1003682345 |
| Provider Name: | JENNIFER THELEN LPC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YP2500X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 11/28/2023 |
| Last Updated: | 11/28/2023 |
Provider Practice Location
5435 BULL VALLEY RD STE 230
MCHENRY
IL
600507435
Practice Location Phone/Fax
| Phone: | 8479517180 |
| Fax: |
Provider Mailing Location
5435 BULL VALLEY RD STE 230
MCHENRY
IL
600507435
Provider Mailing Phone/Fax
| Phone: | 8479517180 |
| Fax: |