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

Jaclyn Wallen

Individual provider Mental Health Counselor · NPI 1083227995

Jaclyn Wallen is a Mental Health Counselor in Berwyn, Illinois. Licensed in Illinois. Registered with an NPI since 2020.

Licensed in
IL
In the registry since
2020

Practice location Address checks out

6501 Stanley Ave
Berwyn, IL 60402-3123
Phone: (708) 484-7400
Show map & directions

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

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 180.008708 (IL)

Record details

NPI number1083227995
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 28, 2020
Last updated in NPPESAugust 28, 2020
Certification dateAugust 28, 2020
Mailing address5018 W 23rd St, Cicero, IL 60804-2927

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