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
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | 180.012102 (IL) |
| Professional Counselor | 101YP2500X | 178.011352 (IL) |
| Professional Counselor Primary | 101YP2500X | 180012102 (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.