Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TINA M JEROLDS
Active Sole ProprietorTINA M JEROLDS is a Mental Health Counselor healthcare provider located in JONESBORO, Illinois. NPI 1003540576 is currently active in the NPPES registry. Verify at CMS.
Mental Health Counselor · JONESBORO, IL
Registration Details
- NPI Number
- 1003540576
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 12, 2022 (4.0694563868545 yrs)
- Last Updated
- Jul 12, 2022
- License
-
149.010409 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
15 GREEN ACRES LNJONESBORO, IL, 629521325Browse IL providers · Browse ZIP 62952
- Phone
- 6186973834
- Primary Specialty
-
Mental Health Counselor
101YM0800X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.