Individual
JASON R KALLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC-IT
Contact information
Practice address
3278 COUNTY RD E, EUREKA, WI 54963-9635
(920) 509-8987
Mailing address
3278 COUNTY RD E, EUREKA, WI 54963-9635
(920) 509-8987
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
8330-226
WI
Other
Enumeration date
02/21/2025
Last updated
02/21/2025
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