Jasmine Wilson

NPI #1114780509 in Waukegan, Illinois

Provider Information

NPI Number: 1114780509
Entity Type: Individual
Name: Jasmine Wilson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Jan 30, 2024
Last Updated: Jan 30, 2024

Practice Location

Address: 415 WASHINGTON ST
City: Waukegan
State: Illinois
ZIP Code: 60085-5564
Phone: (847) 441-5600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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