Doctor Name: | JASMINE JILEK |
NPI Number: | 1942579966 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 4446 |
Business Practice Address: | 664 12th St W Dickinson, ND - 586013511 |
Business Phone Number: | 7014567675 |
Business Fax Number: | |
Mailing Address: | 2824 Prairie Oak Dr, DICKINSON |
State: | ND |
Postal Code: | 586016739 |
Phone Number: | 7014567675 |
Fax Number: | |
NPI Enumeration Date: | 12/20/2011 |
NPI Last Update Date: | 01/21/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 4446 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | ND |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |