Individual
MISS JASMYNE NIKIA WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
9730 S WESTERN AVE, EVERGREEN PARK, IL 60805-2814
(708) 684-1560
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
180.016375
IL
Other
Enumeration date
09/18/2019
Last updated
10/25/2024
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