Individual provider · Type 1 NPI
Jason R. Kallas, LPC-IT
Mental Health Counselor · Eureka, WI
NPI number
1336945153
Active
Practice location
3278 County Rd E
Eureka, WI 54963-9635
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 8330-226 (WI) |
Mental Health Counselor: Definition to come...
About NPI 1336945153
Jason R. Kallas, LPC-IT's National Provider Identifier is 1336945153, issued on Feb 21, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Eureka, WI. The record was last updated on Feb 21, 2025.