Individual
JASMINE GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
377 W VIRGINIA ST, CRYSTAL LAKE, IL 60014-5756
(815) 707-4806
Mailing address
377 W VIRGINIA ST, CRYSTAL LAKE, IL 60014-5756
(815) 707-4806
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
150.112690
IL
104100000X
Social Worker
Primary
LMSW-20892
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
150.112690
LSW
IL
Enumeration date
02/16/2018
Last updated
12/27/2025
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