Individual
JON ASHWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2713 SALLMON AVE, WAUKEGAN, IL 60087-3514
(847) 721-2202
(847) 574-7513
Mailing address
2713 SALLMON AVE, WAUKEGAN, IL 60087-3514
(847) 721-2202
(847) 574-7513
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
178005357
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
178005357
—
IL
Enumeration date
05/20/2022
Last updated
05/20/2022
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