Individual
JASMINE JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LCPC, NCC
Contact information
Practice address
2511 N MAIN ST, EAST PEORIA, IL 61611-1783
(309) 670-0459
(309) 670-0416
Mailing address
2511 N MAIN ST, EAST PEORIA, IL 61611-1783
(309) 670-0459
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
180011232
IL
101YA0400X
Addiction (Substance Use Disorder) Counselor
36237
IL
Other
Enumeration date
11/04/2019
Last updated
12/29/2021
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