Individual
JASMINE GINGER MACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5628 S PRAIRIE AVE, CHICAGO, IL 60637-1234
(773) 491-6476
Mailing address
5628 S PRAIRIE AVE, CHICAGO, IL 60637-1234
(773) 491-6476
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
150110182
IL
104100000X
Social Worker
Primary
150110182
IL
Other
Enumeration date
08/13/2026
Last updated
08/13/2026
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