Provider Demographics
NPI:1558739755
Name:STEFANOVSKI, JENNIFER S (LPC)
Entity type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:S
Last Name:STEFANOVSKI
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MISS
Other - First Name:JENNIFER
Other - Middle Name:S
Other - Last Name:KOLLMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPCC
Mailing Address - Street 1:3301 W PURDUE AVE
Mailing Address - Street 2:
Mailing Address - City:MUNCIE
Mailing Address - State:IN
Mailing Address - Zip Code:47304-6356
Mailing Address - Country:US
Mailing Address - Phone:765-284-0043
Mailing Address - Fax:765-284-4112
Practice Address - Street 1:3301 W PURDUE AVE
Practice Address - Street 2:
Practice Address - City:MUNCIE
Practice Address - State:IN
Practice Address - Zip Code:47304-6356
Practice Address - Country:US
Practice Address - Phone:765-284-0043
Practice Address - Fax:765-284-4112
Is Sole Proprietor?:No
Enumeration Date:2015-09-04
Last Update Date:2025-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE1200662101YM0800X
IN39005494A101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health