Individual provider · Type 1 NPI

Jerry L. Price Jr., MBA

Mental Health Counselor · Berwyn, IL

NPI number 1164912283 Active

Practice location

6412 27th St # At
Berwyn, IL 60402-2755

Call (312) 898-2831 Map

Mailing address

6120 N Kenmore Ave Apt 2E
Chicago, IL 60660-2727

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Behavior Analyst 103K00000XNone listed
Family Psychologist 103TF0000XNone listed
Assistant Behavior Analyst 106E00000XNone listed
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1164912283

Jerry L. Price Jr., MBA's National Provider Identifier is 1164912283, issued on May 14, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Berwyn, IL. The record was last updated on May 14, 2018.