Individual
MS. JASMINE ALLEGRA TUDY SAULS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., MFT
Contact information
Practice address
649 BARRON BLVD, GRAYSLAKE, IL 60030-1327
(847) 231-3840
Mailing address
649 BARRON BOULEVARD, GRAYSLAKE, IL 60030-1327
(847) 231-3840
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
166000785
IL
106H00000X
Marriage & Family Therapist
MFC40231
CA
Other
Enumeration date
06/08/2012
Last updated
06/08/2012
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