person
Jaclyn Wallen
Mental Health Counselor in Berwyn, Illinois
NPI 1083227995

Jaclyn Wallen is a Mental Health Counselor based in Cicero, IL and is specialized in Mental Health. Jaclyn Wallen practices in Berwyn, IL. The NPI Number for Jaclyn Wallen is 1083227995 and holds a License No. 180.008708 (Illinois).

The current practice location address for Jaclyn Wallen is 6501 Stanley Ave, Berwyn, IL and can be reached out via phone at 708-484-7400.

Location: 6501 Stanley Ave, Berwyn, IL, 60804-2927
person
Provider Profile Details
NPI Number
1083227995
Provider Name
Jaclyn Wallen
Credential
Provider Entity Type
Individual
Gender
Female
Address
6501 Stanley Ave, Berwyn, IL, 60804-2927
Phone Number
708-484-7400
Fax Number
Provider Enumeration Date
08/28/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
6501 Stanley Ave
City
State
Zip
60402-3123
Phone Number
708-484-7400
Fax Number
person
Provider Business Mailing Address Details
Address
6501 Stanley Ave
City
State
Zip
60402-3123
Phone Number
708-484-7400
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
180.008708 (Illinois)
Definition
Definition to come...
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