Doctor Name: | JASMINE SOMMER |
NPI Number: | 1356784300 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 700 Se Cross St Mount Sterling, IL - 623531561 |
Business Phone Number: | 2177733325 |
Business Fax Number: | 2177732425 |
Mailing Address: | 700 Se Cross St, MOUNT STERLING |
State: | IL |
Postal Code: | 623531561 |
Phone Number: | 2177733325 |
Fax Number: | 2177732425 |
NPI Enumeration Date: | 04/09/2013 |
NPI Last Update Date: | 04/09/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |