MS. JENNIFER ARI ROSE AMFT LPC
NPI 1073842423
Counselor - Professional in Carbondale, IL
Active since December 14, 2009
214 S UNIVERSITY AVE, CARBONDALE, IL 62901(618) 351-0743(618) 351-0945 Get Directions Write a Review
About Ms. Jennifer Ari Rose Amft Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. JENNIFER ARI ROSE AMFT LPC (NPI 1073842423) is an individual professional provider in Carbondale, Illinois, licensed in Illinois (178.005844) and active in the NPI registry since December 2009.
NPPES Registry Identity
NPI1073842423
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMS. JENNIFER ARI ROSECredential: AMFT LPC
Location Address214 S UNIVERSITY AVECarbondale, IL 62901-2925
Mailing Address214 S University AveCarbondale, IL 62901-2925 · (618) 351-0743 · Fax (618) 351-0945
Phone(618) 351-0743
Fax(618) 351-0945
Sole ProprietorNo
Enumeration DateDecember 14, 2009
✔ NPI 1073842423 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in IL · 178.005844
214 S UNIVERSITY AVE, Carbondale, IL 62901
Other Names 1
Former Name (1)Jennifer Rose Buck
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Counselor (Mental Health)
214 S UNIVERSITY AVE
CARBONDALE, IL 62901
CARBONDALE, IL 62901
Counselor (Mental Health)
214 S UNIVERSITY AVE
CARBONDALE, IL 62901
CARBONDALE, IL 62901
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1073842423, enumerated as an "individual" on December 14, 2009.
The provider is located at 214 S UNIVERSITY AVE CARBONDALE, IL 62901 and the phone number is (618) 351-0743.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
