Individual provider · Type 1 NPI

Jade Marie Austin, MA

Mental Health Counselor · Evanston, IL

NPI number 1619733458 Active

Practice location

501 Davis St
Evanston, IL 60201-4619

Call (312) 815-9660 Map

Mailing address

940 W Cullom Ave
Chicago, IL 60613-1619

Other practice locations

  • 940 W Cullom Ave, Chicago, IL 60613-1619 · (773) 525-9000

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician 106S00000XNone listed
Case Manager/Care Coordinator 171M00000XNone listed
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1619733458

Jade Marie Austin, MA's National Provider Identifier is 1619733458, issued on Feb 27, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Evanston, IL. The record was last updated on Feb 27, 2024.