JENNIFER SHANTI OLSON

ROCKFORD, IL
NPI1770820128
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: IL  166000872)
Enumeration Date2013-01-04
Last Update Date2013-01-04
Business Address
Mrs. JENNIFER SHANTI OLSON LMFT
8616 NORTHERN AVE
ROCKFORD, IL 61107-5309
Phone number: 815-332-6000
Mailing Address
Mrs. JENNIFER SHANTI OLSON LMFT
1021 N MULFORD RD
ROCKFORD, IL 61107-3877
Phone number: 815-387-5600