Relle, Jason

Relle, Jason is an individual health care provider with primary practice located at 8616 Northern Ave , Rockford IL 61107-5309. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Relle, Jason can be contacted via phone (815) 338-8003.

Contact Information

Primary practice address
8616 Northern Ave Rockford IL 61107-5309
Phone: (815) 338-8003
Fax: (815) 332-6090
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 178.008877 Illinois
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 208.000240 Illinois

Profile Details

NPI number 1306194923
LBN Legal business name Relle, Jason
Credentials LPC, AMFT
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2012
Last updated Sep 9th, 2013 - about 13 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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