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Search › Illinois › Mental Health Counselor

Jaclyn Wallen

NPI 1083227995 · on the registry since 2020

Practice

Address
6501 Stanley Ave
Berwyn, IL 60402
Phone
(708) 484-7400
Organisation at this address
Youth Crossroads, Inc.
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
Mental Health Counselor
101YM0800X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-08-28

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois