Individual provider · Type 1 NPI

Tyler Jasper

Professional Counselor · Chicago, IL

NPI number 1932607405 Active

Practice location

1525 E 53rd St
Chicago, IL 60615-4557

Mailing address

5113 S Harper Ave Ste 2C
Chicago, IL 60615-4119

Other practice locations

  • 5113 S Harper Ave Ste 2C, Chicago, IL 60615-4119 · (773) 332-1448

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800X180.012102 (IL)
Professional Counselor 101YP2500X178.011352 (IL)
Professional Counselor Primary 101YP2500X180012102 (IL)

Professional Counselor: Definition to come...

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About NPI 1932607405

Tyler Jasper's National Provider Identifier is 1932607405, issued on Jan 30, 2018. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Chicago, IL. The record was last updated on Jan 6, 2021.