Individual provider · Type 1 NPI
Jason Thomas Davis, MA, LPC
Professional Counselor · Evanston, IL
NPI number
1356870927
Active
Practice location
2530 Crawford Ave Ste 208
Evanston, IL 60201-4959
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | None listed |
Professional Counselor: Definition to come...
2 other providers at this address
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About NPI 1356870927
Jason Thomas Davis, MA, LPC's National Provider Identifier is 1356870927, issued on Jun 7, 2017. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Evanston, IL. The record was last updated on Jun 7, 2017.