Individual
JASON BARNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCPC
Contact information
Practice address
680 N LAKE SHORE DR STE 1101631, CHICAGO, IL 60611-4546
(773) 466-4640
Mailing address
680 N LAKE SHORE DR STE 110-1631, CHICAGO, IL 60611-4546
(773) 466-4640
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
180.014239
IL
101YM0800X
Mental Health Counselor
C7305
OR
106S00000X
Behavior Technician
RBT-17-37937
IL
Other
Enumeration date
05/04/2018
Last updated
04/22/2026
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