Individual
MR. JASON BRESCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9241 S ILLINOIS RTE 31, LAKE IN THE HILLS, IL 60156
(847) 854-4333
Mailing address
385 BRITTANY CT APT B, GENEVA, IL 60134-3653
(847) 767-0015
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
XOX831289317
BLUE CROSS/SHIELD
IL
Enumeration date
07/30/2019
Last updated
08/18/2020
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