Individual
JASMINE DOMINIQUE JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
19041 WILLOW AVE, COUNTRY CLUB HILLS, IL 60478-5740
(708) 405-8990
Mailing address
19041 WILLOW AVE, COUNTRY CLUB HILLS, IL 60478-5740
(312) 758-6617
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000000
N/A
—
Enumeration date
11/18/2019
Last updated
08/20/2021
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