Individual provider · Type 1 NPI

Jim Joseph Manzardo, LPC

Professional Counselor · Chicago, IL

NPI number 1396695136 Active

Practice location

1263 W Loyola Ave
Chicago, IL 60626-6537

Mailing address

1323 W Columbia Ave Apt 2W
Chicago, IL 60626-4367

Specialties and licenses

TaxonomyCodeLicense
Pastoral Counselor 101YP1600X178.022096 (IL)
Professional Counselor Primary 101YP2500X178.022096 (IL)

Professional Counselor: Definition to come...

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About NPI 1396695136

Jim Joseph Manzardo, LPC's National Provider Identifier is 1396695136, issued on Jan 31, 2026. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Chicago, IL. The record was last updated on Jan 31, 2026.