Individual provider · Type 1 NPI

Jennifer Shanti Olson, LMFT

Marriage & Family Therapist · Rockford, IL

NPI number 1770820128 Active

Practice location

8616 Northern Ave
Rockford, IL 61107-5309

Call (815) 332-6000 Map

Mailing address

1021 N Mulford Rd
Rockford, IL 61107-3877

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist Primary 106H00000X166000872 (IL)

Marriage & Family Therapist: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats ment…

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About NPI 1770820128

Jennifer Shanti Olson, LMFT's National Provider Identifier is 1770820128, issued on Jan 4, 2013. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Rockford, IL. The record was last updated on Jan 4, 2013.