Individual provider · NPI-1

Jasmine Aaliyah Alston-Young

Counselor, Mental Health · Mattoon, IL

NPI number1831681790
StatusActive
Last updated in NPPESJun 5, 2018

Details

NPI
1831681790
Entity type
Individual (NPI-1)
Name
Jasmine Aaliyah Alston-Young
Sex
Female
Sole proprietor
No
Enumeration date
Jun 5, 2018
Last updated
Jun 5, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YM0800X Counselor, Mental Health––Yes

Practice location

750 Broadway Ave E
Mattoon, IL 61938-4610

Phone 217-238-5700 · Fax 217-238-5767

Mailing address

750 Broadway Ave E
Mattoon, IL 61938-4610

Phone 217-238-5700 · Fax 217-238-5767

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