Individual
JAZMIN PAZMINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1801 VALLEY RD, A, CHAMPAIGN, IL 61820-7143
(773) 801-6896
Mailing address
1801 VALLEY RD, A, CHAMPAIGN, IL 61820-7143
(773) 801-6896
Taxonomy
Speciality
Code
Description
License number
State
225C00000X
Rehabilitation Counselor
Primary
—
—
Other
Enumeration date
12/09/2010
Last updated
12/09/2010
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