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Jason Thomas Davis, MA,LPC
Professional Counselor in Evanston, Illinois
NPI 1356870927

Jason Thomas Davis is a Professional Counselor based in Evanston, IL and is specialized in Professional. Jason Thomas Davis practices in Evanston, IL and has the professional credentials of MA,LPC. The NPI Number for Jason Thomas Davis is 1356870927 and holds a License No. (Illinois).

The current practice location address for Jason Thomas Davis is 2530 Crawford Ave Ste 208, Evanston, IL and can be reached out via phone at 224-688-2277.

Location: 2530 Crawford Ave Ste 208, Evanston, IL, 60201-4959
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1356870927
Provider Name
Jason Thomas Davis
Credential
MA,LPC
Provider Entity Type
Individual
Gender
Male
Address
2530 Crawford Ave Ste 208, Evanston, IL, 60201-4959
Phone Number
224-688-2277
Fax Number
Provider Enumeration Date
06/07/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2530 Crawford Ave Ste 208
City
Evanston
State
Illinois
Zip
60201-4959
Phone Number
224-688-2277
Fax Number
person
Provider Business Mailing Address Details
Address
2530 Crawford Ave Ste 208
City
Evanston
State
Illinois
Zip
60201-4959
Phone Number
224-688-2277
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
(Illinois)
Definition
Definition to come...
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