Johnnie L Jasper Valid NPI
Individual provider · Addiction (Substance Use Disorder) Counselor · Wheaton, IL
- NPI
- 1144824574
- Type
- Individual (Type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor (Counselor)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 101YA0400X
- License number
- 22257 (IL)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2020-11-25
- Last updated
- 2020-11-25
Practice location
Central Public Health Center (Cphc), 111 N. County Farm Road
Wheaton, IL 60187
(630) 627-1700