Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JASON R KALLAS, LPC-IT
Active Sole ProprietorJASON R KALLAS, LPC-IT is a Mental Health Counselor healthcare provider located in EUREKA, Wisconsin. NPI 1336945153 is currently active in the NPPES registry. Verify at CMS.
Mental Health Counselor · EUREKA, WI
Registration Details
- NPI Number
- 1336945153
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 21, 2025 (1.4524360911818 yrs)
- Last Updated
- Feb 21, 2025
- License
-
8330-226 (WI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3278 COUNTY RD EEUREKA, WI, 549639635Browse WI providers · Browse ZIP 54963
- Phone
- 9205098987
- Primary Specialty
-
Mental Health Counselor
101YM0800X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.