Individual
MS. JASMIN MARIE WEAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
10731 S GREEN ST, CHICAGO, IL 60643-3819
(773) 426-1193
(773) 701-6272
Mailing address
10731 S GREEN ST, CHICAGO, IL 60643-3819
(773) 426-1193
(773) 701-6272
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180009390
IL
Other
Enumeration date
06/03/2015
Last updated
11/25/2016
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