Individual
JASMINA BOURGEOIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
122 S MICHIGAN AVE STE 1441, CHICAGO, IL 60603-6173
(773) 232-7005
Mailing address
122 S MICHIGAN AVE STE 1441, CHICAGO, IL 60603-6173
(773) 232-7005
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
180015556
IL
Other
Enumeration date
01/09/2020
Last updated
10/09/2023
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