Jones, Jasmine Dominique

Jones, Jasmine Dominique is an individual health care provider with primary practice located at 19041 Willow Ave , Country Club Hills IL 60478-5740. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Child & Adolescent, which is considered as her primary health care specialty. Jones, Jasmine Dominique can be contacted via phone (708) 405-8990.

Contact Information

Primary practice address
19041 Willow Ave Country Club Hills IL 60478-5740
Phone: (708) 405-8990
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X

Profile Details

NPI number 1902441603
LBN Legal business name Jones, Jasmine Dominique
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 18th, 2019
Last updated Aug 20th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902441603 NPPES
Other 00000000 N/A

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