Individual provider · Type 1 NPI

Jennifer Wise

Mental Health Counselor · Lombard, IL

NPI number 1063378768 Active

Practice location

128 Eastview Ter
Lombard, IL 60148-2742

Call (224) 205-0596 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X180.017768 (IL)

Mental Health Counselor: Definition to come...

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About NPI 1063378768

Jennifer Wise's National Provider Identifier is 1063378768, issued on Dec 27, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Lombard, IL. The record was last updated on Dec 27, 2025.