Individual provider · Type 1 NPI

Jasmine Wilson

Mental Health Counselor · Grayslake, IL

NPI number 1114780509 Active

Practice location

649 Barron Blvd
Grayslake, IL 60030-1343

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1114780509

Jasmine Wilson's National Provider Identifier is 1114780509, issued on Jan 30, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Grayslake, IL. The record was last updated on Apr 2, 2026.