Individual
JASA PERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
16000 VAN DRUNEN RD, SOUTH HOLLAND, IL 60473-1242
(312) 650-9413
(312) 270-0459
Mailing address
16000 VAN DRUNEN RD, SOUTH HOLLAND, IL 60473-1242
(312) 650-9413
(312) 270-0459
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
180015424
IL
101Y00000X
Counselor
39005742A
IN
101YM0800X
Mental Health Counselor
180015424
IL
101YM0800X
Mental Health Counselor
39005742A
IN
101YP2500X
Professional Counselor
Primary
180015424
IL
101YP2500X
Professional Counselor
39005742A
IN
Other
Enumeration date
10/05/2018
Last updated
04/19/2026
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