| Doctor Name: | JENNIFER MARIE THOMASON |
| NPI Number: | 1083754931 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCPC |
| License Number: | |
| Business Practice Address: | 125 S 4th St Oregon, IL - 610611609 |
| Business Phone Number: | 8157323157 |
| Business Fax Number: | 8157323834 |
| Mailing Address: | 5259 S Mill Pond Rd, ROCHELLE |
| State: | IL |
| Postal Code: | 610689136 |
| Phone Number: | 8155629509 |
| Fax Number: | |
| NPI Enumeration Date: | 02/08/2007 |
| NPI Last Update Date: | 03/18/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |