Individual
MR. JASON KNORR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S., LCPC
Contact information
Practice address
4513 LINCOLN AVE, RT.53, SUITE 109A, LISLE, IL 60532-1289
(630) 670-7130
Mailing address
4513 LINCOLN AVE, RT.53, SUITE 109A, LISLE, IL 60532-1289
(630) 670-7130
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180006231
IL
171M00000X
Case Manager/Care Coordinator
180.006231
IL
Other
Enumeration date
08/23/2008
Last updated
02/14/2023
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