person
Jason Shaw JR., MA,LPC
Professional Counselor in Chicago, Illinois
NPI 1790371227

Jason Shaw JR. is a Professional Counselor based in Chicago, IL and is specialized in Professional. Jason Shaw JR. practices in Chicago, IL and has the professional credentials of MA,LPC. The NPI Number for Jason Shaw JR. is 1790371227 and holds a License No. 178.016637 (Illinois).

The current practice location address for Jason Shaw JR. is 2000 N Racine Ave Ste 3300, Chicago, IL and can be reached out via phone at 312-718-9464.

Location: 2000 N Racine Ave Ste 3300, Chicago, IL, 60618-6510
person
Provider Profile Details
NPI Number
1790371227
Provider Name
Jason Shaw JR.
Credential
MA,LPC
Provider Entity Type
Individual
Gender
Male
Address
2000 N Racine Ave Ste 3300, Chicago, IL, 60618-6510
Phone Number
312-718-9464
Fax Number
Provider Enumeration Date
12/18/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2000 N Racine Ave Ste 3300
City
State
Zip
60614-4045
Phone Number
312-718-9464
Fax Number
person
Provider Business Mailing Address Details
Address
2000 N Racine Ave Ste 3300
City
State
Zip
60614-4045
Phone Number
312-718-9464
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
178.016637 (Illinois)
Definition
Definition to come...
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