Individual
JASMINE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1141 N MENARD AVE, CHICAGO, IL 60651-2667
(773) 629-1495
Mailing address
1141 N MENARD AVE, CHICAGO, IL 60651-2667
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
178.022387
IL
Other
Enumeration date
02/09/2026
Last updated
02/09/2026
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