Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jaclyn Rose Marzullo

Individual provider Mental Health Counselor · NPI 1194075408

Jaclyn Rose Marzullo is a Mental Health Counselor in Melrose Park, Illinois. Licensed in Illinois. Registered with an NPI since 2012.

Licensed in
IL
In the registry since
2012
Specialties on file
2

Practice location Address checks out

1414 Main St
Melrose Park, IL 60160-3902
Phone: (708) 681-0073
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (IL)

Record details

NPI number1194075408
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 13, 2012
Last updated in NPPESSeptember 13, 2012

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