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Tyler Jasper
Professional Counselor in Chicago, Illinois
NPI 1932607405

Tyler Jasper is a Professional Counselor based in Chicago, IL and is specialized in Professional. Tyler Jasper practices in Chicago, IL. The NPI Number for Tyler Jasper is 1932607405 and holds a License No. 180.012102 (Illinois).

The current practice location address for Tyler Jasper is 1525 E 53Rd St, Chicago, IL and can be reached out via phone at 224-407-2763.

Location: 1525 E 53Rd St, Chicago, IL, 60615-4119
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Provider Profile Details
NPI Number
1932607405
Provider Name
Tyler Jasper
Credential
Provider Entity Type
Individual
Gender
Female
Address
1525 E 53Rd St, Chicago, IL, 60615-4119
Phone Number
224-407-2763
Fax Number
Provider Enumeration Date
01/30/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1525 E 53Rd St
City
State
Zip
60615-4557
Phone Number
224-407-2763
Fax Number
person
Provider Business Mailing Address Details
Address
1525 E 53Rd St
City
State
Zip
60615-4557
Phone Number
224-407-2763
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
178.011352 (Illinois)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
180.012102 (Illinois)
Definition
Definition to come...
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