| Jaclyn Wallen, | |
|
6501 Stanley Ave, Berwyn, IL 60402-3123 | |
| (708) 484-7400 | |
| Not Available |
| Full Name | Jaclyn Wallen |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 6501 Stanley Ave, Berwyn, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083227995 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 180.008708 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jaclyn Wallen, 5018 W 23rd St, Cicero, IL 60804-2927 Ph: (334) 718-9025 | Jaclyn Wallen, 6501 Stanley Ave, Berwyn, IL 60402-3123 Ph: (708) 484-7400 |
Ms. Lizette Reyes Reveles, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 6918 W Windsor Ave, Berwyn, IL 60402 Phone: 708-745-5277 | |
Christina M King, MHP Counselor Medicare: Not Enrolled in Medicare Practice Location: 6415 Stanley, Berwyn, IL 60402 Phone: 708-788-0511 Fax: 708-788-0831 | |
Ms. Julie Durkalec, BS, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6918 Windsor Ave, Berwyn, IL 60402 Phone: 708-745-5277 | |
Mr. Philip Jean Tomas, B.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 6918 Windsor Ave, Berwyn, IL 60402 Phone: 708-745-5277 Fax: 708-795-4834 | |
Hannah Doggett, MA, LPC, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6918 W Windsor Ave, Berwyn, IL 60402 Phone: 708-745-5277 | |
Antoinette Allen, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6918 W Windsor Ave, Berwyn, IL 60402 Phone: 708-995-3720 | |
Dr. Alban George Fisher, PHD Counselor Medicare: Not Enrolled in Medicare Practice Location: 3239 Grove Ave Ste 2, Berwyn, IL 60402 Phone: 773-663-6597 |