Individual
JASON SHAW JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, LPC
Contact information
Practice address
2000 N RACINE AVE STE 3300, CHICAGO, IL 60614-4045
(312) 718-9464
Mailing address
3133 N HARDING AVE, CHICAGO, IL 60618-6510
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
178.016637
IL
Other
Enumeration date
12/18/2020
Last updated
12/18/2020
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