Jennifer Lynn Boston, MSW, LCSW | |
2028 N Seminary Ave, Woodstock, IL 60098-2626 | |
(815) 333-8650 | |
Not Available |
Full Name | Jennifer Lynn Boston |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 2028 N Seminary Ave, Woodstock, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1922589076 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Entity Name | Independence Health & Therapy |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598717597 PECOS PAC ID: 2062315849 Enrollment ID: O20040129000421 |
Mailing Address | Practice Location Address |
---|---|
Jennifer Lynn Boston, MSW, LCSW 3610 Pebble Crk, Mchenry, IL 60050-6455 Ph: (847) 714-2375 | Jennifer Lynn Boston, MSW, LCSW 2028 N Seminary Ave, Woodstock, IL 60098-2626 Ph: (815) 333-8650 |
Katharina Gounaris, BSW, CDVP Counselor Medicare: Not Enrolled in Medicare Practice Location: 101 S Jefferson St, Woodstock, IL 60098 Phone: 815-344-1230 | |
Amber Marcussen, Counselor Medicare: Not Enrolled in Medicare Practice Location: 111 Dean St, Woodstock, IL 60098 Phone: 847-802-4058 Fax: 815-344-5072 | |
Diana French, Counselor Medicare: Not Enrolled in Medicare Practice Location: 527 W South St, Woodstock, IL 60098 Phone: 800-892-8900 | |
Trisha Fendt, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 101 S Jefferson St, Woodstock, IL 60098 Phone: 815-344-1230 | |
Natalie Freeman, LPC, CDWF Counselor Medicare: Not Enrolled in Medicare Practice Location: 224 W Judd St, Woodstock, IL 60098 Phone: 815-345-3400 | |
Sara Bardy, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 111 Dean St, Woodstock, IL 60098 Phone: 847-802-4058 Fax: 815-344-5072 | |
Dr. Astrid Larsen, PHD, LCPC, MBA Counselor Medicare: Not Enrolled in Medicare Practice Location: 2317 Timberline Trl, Woodstock, IL 60098 Phone: 847-553-7764 |