Individual provider · Type 1 NPI

Jaclyn Rose Marzullo

Mental Health Counselor · Melrose Park, IL

NPI number 1194075408 Active

Practice location

1414 Main St
Melrose Park, IL 60160-3902

Call (708) 681-0073 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed
Student in an Organized Health Care Education/Training Program 390200000XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1194075408

Jaclyn Rose Marzullo's National Provider Identifier is 1194075408, issued on Sep 13, 2012. 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 Sep 13, 2012.