Individual provider · Type 1 NPI

Marycarmen Jasso

Mental Health Counselor · Chicago, IL

NPI number 1568187995 Active

Practice location

2310 W Roosevelt Rd
Chicago, IL 60608-1131

Mailing address

5927 W 35th St Apt 10
Cicero, IL 60804-4100

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1568187995

Marycarmen Jasso's National Provider Identifier is 1568187995, issued on Oct 7, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Chicago, IL. The record was last updated on Oct 7, 2022.