Jasmine Conyers
Counselor in Danville, IL. Individual provider (NPI-1).
NPI number1164038055
StatusActive
Last updated in NPPESSep 16, 2020
Details
- NPI
- 1164038055
- Entity type
- Individual (NPI-1)
- Name
- Jasmine Conyers
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 16, 2020
- Certification date
- Sep 16, 2020
- Last updated
- Sep 16, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | – | – | Yes |
Practice location
1101 E Winter AveDanville, IL 61832-2295
Phone 217-651-6801
Mailing address
2511a Leeper DrChampaign, IL 61822-6755
Phone 217-512-0617
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