SearchIllinois101YP2500X

Mia Jensen, LCPC

NPI 1760192975 · on the registry since 2022 · sole proprietor

Practice

Address
115 S Marion St
Oak Park, IL 60302
Phone
(847) 477-7346
Clinicians at this address
7

Registry record

Primary taxonomy
101YP2500X
101YP2500X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-11-29

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois