Tina M Jerolds, - Counselor in Jonesboro, IL

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Tina M Jerolds, is a Counselor - Mental Health based in Jonesboro, Illinois. Tina M Jerolds is licensed to practice in Illinois (license number 149.010409) and her current practice location is 15 Green Acres Ln, Jonesboro, Illinois. She can be reached at her office (for appointments etc.) via phone at (618) 697-3834.

NPI number for Tina M Jerolds is 1003540576 and her current mailing address is 15 Green Acres Ln, Jonesboro, Illinois. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1003540576.

Contact Information

Tina M Jerolds,
15 Green Acres Ln,
Jonesboro, IL 62952-1325
(618) 697-3834
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameTina M Jerolds
GenderFemale
SpecialityCounselor - Mental Health
Location15 Green Acres Ln, Jonesboro, Illinois
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1003540576
  • Provider Enumeration Date: 07/12/2022
  • Last Update Date: 07/12/2022

Medical Identifiers

Medical identifiers for Tina M Jerolds such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003540576NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health 149.010409 (Illinois)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Tina M Jerolds is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Tina M Jerolds,
15 Green Acres Ln,
Jonesboro, IL 62952-1325

Ph: () -		Tina M Jerolds,
15 Green Acres Ln,
Jonesboro, IL 62952-1325

Ph: (618) 697-3834

Reviews and Comments


Counselor in Jonesboro, IL


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