Burnett, Jason Maurice

Burnett, Jason Maurice is an individual health care provider with primary practice located at 1029 Des Plaines Ave Apt 404 , Forest Park IL 60130-2146. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Burnett, Jason Maurice can be contacted via phone (312) 342-7504.

Contact Information

Primary practice address
1029 Des Plaines Ave Apt 404 Forest Park IL 60130-2146
Phone: (312) 342-7504
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 149021328 Illinois

Profile Details

NPI number 1033765326
LBN Legal business name Burnett, Jason Maurice
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 13th, 2019
Last updated Aug 13th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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