Most Relevant Information
Provider Data
| NPI Number: | 1003416298 |
| Provider Name: | JASMINE CARTER |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 10/28/2020 |
| Last Updated: | 10/28/2020 |
Provider Practice Location
1909 CHEKER SQ
EAST HAZEL CREST
IL
604291442
Practice Location Phone/Fax
| Phone: | 7086473333 |
| Fax: |
Provider Mailing Location
1909 CHEKER SQ
EAST HAZEL CREST
IL
604291442
Provider Mailing Phone/Fax
| Phone: | 7086473333 |
| Fax: |