MR. Jason Matthew Van Sickle, LCSW, MSCS, COR

NPI #1114259207 in Marion, Illinois

Provider Information

NPI Number
1114259207
Entity Type
Individual
Name
MR. Jason Matthew Van Sickle, LCSW, MSCS, COR
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Social Worker - Clinical
Credential
LCSW, MSCS, COR
Enumeration Date
Feb 1, 2010
Last Updated
Apr 29, 2021

Practice Location

Address
2401 W MAIN ST
City
Marion
ZIP Code
62959-1188
Phone
(618) 997-5311

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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