| Jennifer Mitchell, LMFT | |
|
2108 23rd St, Rockford, IL 61108-6015 | |
| (815) 440-8687 | |
| Not Available |
| Full Name | Jennifer Mitchell |
|---|---|
| Gender | Female |
| Speciality | Marriage & Family Therapist |
| Location | 2108 23rd St, Rockford, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669093001 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 166.000725 (Illinois) | Primary |
| Entity Name | Restore Counseling & Recovery Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588909923 PECOS PAC ID: 0446497598 Enrollment ID: O20130508000321 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Mitchell, LMFT 2108 23rd St, Rockford, IL 61108-6015 Ph: (815) 440-8687 | Jennifer Mitchell, LMFT 2108 23rd St, Rockford, IL 61108-6015 Ph: (815) 440-8687 |
Allison M Bozovsky, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 5491 Longvalley Dr, Rockford, IL 61109 Phone: 224-307-6102 | |
Gail Logemann, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 461 N Mulford Rd, Condo #1, Rockford, IL 61107 Phone: 815-395-1141 Fax: 815-395-1117 | |
Michelle Mccabeschafer, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1401 E State St, Rockford, IL 61104 Phone: 779-696-4834 | |
Zella Moore, NP Couples Therapy Medicare: Medicare Enrolled Practice Location: 1639 N Alpine Rd, Suite 260, Rockford, IL 61107 Phone: 815-395-1500 Fax: 815-395-1415 | |
Mrs. Sabrina Johnson, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 6653 Weaver Rd Ste 12, Rockford, IL 61114 Phone: 815-201-2687 | |
Colin Richard Gillette, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 8616 Northern Ave, Rockford, IL 61107 Phone: 815-399-9700 | |
Emily Gilliam, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 8616 Northern Ave, Rockford, IL 61107 Phone: 812-332-8003 |