Jason Maurice Burnett, LCSW

NPI #1033765326 in Forest Park, Illinois

Provider Information

NPI Number: 1033765326
Entity Type: Individual
Name: Jason Maurice Burnett, LCSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: LCSW
Enumeration Date: Aug 13, 2019
Last Updated: Aug 13, 2019

Practice Location

Address: 1029 DES PLAINES AVE APT 404
City: Forest Park
State: Illinois
ZIP Code: 60130-2146
Phone: (312) 342-7504

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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