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NPI Code Detail

MEDICARE: JENNIFER TREPP

MEDICARE: JENNIFER TREPP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1346092806
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER TREPP
Provider Business Mailing Address
First Line : 7373 N LINCOLN AVE STE 400
Second Line :
City : LINCOLNWOOD
State : IL
Zip : 60712-1715
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7373 N LINCOLN AVE STE 400
Second Line :
City : LINCOLNWOOD
State : IL
Zip : 60712-1715
Country : US
Telephone Number : 512-506-1721
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/05/2024
Last Update Date : 04/05/2024

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