Provider Demographics
NPI:1871985382
Name:STOICA, JENNIFER (LCPC, NCC, CEAP)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:
Last Name:STOICA
Suffix:
Gender:F
Credentials:LCPC, NCC, CEAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6300 N OAKLEY AVE APT 2
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60659-2037
Mailing Address - Country:US
Mailing Address - Phone:773-895-3088
Mailing Address - Fax:
Practice Address - Street 1:4803 N MILWAUKEE AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60630-2146
Practice Address - Country:US
Practice Address - Phone:773-895-3088
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-02-21
Last Update Date:2015-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180.006686101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional