Most Relevant Information
Provider Data
| NPI Number: | 1003562430 |
| Provider Name: | JASMINE LYNN FARIAS LCSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 149.023661 |
Most Important Dates
| Enumeration Date: | 02/24/2022 |
| Last Updated: | 02/24/2022 |
Provider Practice Location
1 E ERIE ST STE 400
CHICAGO
IL
606112785
Practice Location Phone/Fax
| Phone: | 3128585440 |
| Fax: |
Provider Mailing Location
1 E ERIE ST STE 400
CHICAGO
IL
606112785
Provider Mailing Phone/Fax
| Phone: | 3128585440 |
| Fax: |