| Jennifer Leibforth Therapeutic Services, Pllc | |
|
38w446 Hilltop Dr St Charles IL 60175-6013 | |
| (847) 254-5074 | |
| Not Available |
| Full Name | Jennifer Leibforth Therapeutic Services, Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 38w446 Hilltop Dr, St Charles, Illinois |
| Authorized Official Name and Position | Jennifer L Leibforth (OWNER/THERAPIST) |
| Authorized Official Contact | 8472545074 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Leibforth Therapeutic Services, Pllc 38w446 Hilltop Dr St Charles IL 60175-6013 Ph: (847) 254-5074 | Jennifer Leibforth Therapeutic Services, Pllc 38w446 Hilltop Dr St Charles IL 60175-6013 Ph: (847) 254-5074 |
| NPI Number | 1235867672 |
|---|---|
| Provider Enumeration Date | 08/12/2022 |
| Last Update Date | 08/12/2022 |
| Certification Date | 08/12/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235867672 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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