Provider Demographics
NPI:1730191149
Name:FRANK, JENNIFER K (MS, LMFT)
Entity type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:K
Last Name:FRANK
Suffix:
Gender:F
Credentials:MS, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:618 WARWICK RD
Mailing Address - Street 2:
Mailing Address - City:DEERFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:60015-3131
Mailing Address - Country:US
Mailing Address - Phone:847-236-0076
Mailing Address - Fax:
Practice Address - Street 1:618 WARWICK RD
Practice Address - Street 2:
Practice Address - City:DEERFIELD
Practice Address - State:IL
Practice Address - Zip Code:60015-3131
Practice Address - Country:US
Practice Address - Phone:847-236-0076
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist