Individual provider · Type 1 NPI

Jason Relle, LPC, AMFT

Professional Counselor · Rockford, IL

NPI number 1306194923 Active

Practice location

8616 Northern Ave
Rockford, IL 61107-5309

Call (815) 338-8003 Map

Fax (815) 332-6090

Mailing address

1021 N Mulford Rd
Rockford, IL 61107-3877

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X178.008877 (IL)
Marriage & Family Therapist 106H00000X208.000240 (IL)

Professional Counselor: Definition to come...

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About NPI 1306194923

Jason Relle, LPC, AMFT's National Provider Identifier is 1306194923, issued on Aug 29, 2012. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Rockford, IL. The record was last updated on Sep 9, 2013.