| Doctor Name: | MS. JENNIFER L FELL |
| NPI Number: | 1154608966 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCPC |
| License Number: | 180.008748 |
| Business Practice Address: | 800 Roosevelt Rd Building E, Suite 415 Glen Ellyn, IL - 601375839 |
| Business Phone Number: | 6302076752 |
| Business Fax Number: | 6308848697 |
| Mailing Address: | 800 Roosevelt Rd, Building E, Suite 415 GLEN ELLYN |
| State: | IL |
| Postal Code: | 601375839 |
| Phone Number: | 6302076752 |
| Fax Number: | 6308848697 |
| NPI Enumeration Date: | 11/08/2011 |
| NPI Last Update Date: | 08/26/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 180.008748 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |