Individual provider · Type 1 NPI
Tina M. Jerolds
Mental Health Counselor · Jonesboro, IL
NPI number
1003540576
Active
Practice location
15 Green Acres Ln
Jonesboro, IL 62952-1325
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 149.010409 (IL) |
Mental Health Counselor: Definition to come...
About NPI 1003540576
Tina M. Jerolds's National Provider Identifier is 1003540576, issued on Jul 12, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Jonesboro, IL. The record was last updated on Jul 12, 2022.