Individual
JASON RYAN WEISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
180 N MICHIGAN AVE STE 1040, CHICAGO, IL 60601-7421
(312) 346-5156
(312) 284-6088
Mailing address
21509 W BARBARA CT, KILDEER, IL 60047-8611
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1708017556
IL
Other
Enumeration date
11/24/2021
Last updated
11/24/2021
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