Individual provider · Type 1 NPI

Jason Peter Schallack, MFA

Mental Health Counselor · Melrose Park, IL

NPI number 1003104324 Active

Practice location

1414 Main St
Melrose Park, IL 60160-3902

Call (708) 681-0073 Map

Fax (708) 681-3958

Mailing address

539 Belleforte Ave
Oak Park, IL 60302-1623

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1003104324

Jason Peter Schallack, MFA's National Provider Identifier is 1003104324, issued on Jul 20, 2011. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Melrose Park, IL. The record was last updated on Jul 20, 2011.