Doctor Name: | JENNIFER L WEBER |
NPI Number: | 1003189051 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LSW, CADC |
License Number: | 150013431 |
Business Practice Address: | 12 Health Services Dr Dekalb, IL - 601159637 |
Business Phone Number: | 8157564875 |
Business Fax Number: | 8157562944 |
Mailing Address: | 12 Health Services Dr, DEKALB |
State: | IL |
Postal Code: | 601159637 |
Phone Number: | 8157564875 |
Fax Number: | 8157562944 |
NPI Enumeration Date: | 02/21/2012 |
NPI Last Update Date: | 02/21/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 150013431 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |