Jennifer Ruth Arnold Weaver, LMFT
Individual provider Active NPI Marriage & Family Therapist · Morris, IL
NPI 1275668477 · NPPES record last updated Nov 10, 2021
Key facts
- NPI
- 1275668477
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 166001466 (IL)
- Practice address
- 1804 Schubert Dr
Morris, IL 60450-3643 - Phone
- (661) 350-0337
- NPI assigned
- Feb 21, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFC38071 | CA | MD | Marriage & Family Therapist |
| 166001466 | IL | MD | Marriage & Family Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MFC38071 | CA | |
| Marriage & Family Therapist | 106H00000X | 166001466 | IL | Yes |
Addresses
Primary practice location
1804 Schubert Dr
Morris, IL 60450-3643
Mailing address
551 Roosevelt Rd Ste 230
Glen Ellyn, IL 60137-5734
Phone (661) 350-0337
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All providers in Morris, IL · Marriage & Family Therapist in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 10, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.