| Doctor Name: | JEAN MCGURK O'BRIEN |
| NPI Number: | 1093993925 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.A., LPC, NCC |
| License Number: | 178.004958 |
| Business Practice Address: | 9 Junction Drive West Suite 2 Glen Carbon, IL - 62034 |
| Business Phone Number: | 6189802358 |
| Business Fax Number: | 6182053561 |
| Mailing Address: | 9 Junction Drive West, Suite 2 GLEN CARBON |
| State: | IL |
| Postal Code: | 62034 |
| Phone Number: | 6189802358 |
| Fax Number: | 6182053561 |
| NPI Enumeration Date: | 02/01/2008 |
| NPI Last Update Date: | 09/21/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 178.004958 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |