IndividualActive
Tina Jerolds
NPI 1003540576 · Mental Health Counselor · Jonesboro, IL
Tina Jerolds is a Mental Health Counselor provider in Jonesboro, IL (NPI 1003540576).
Provider details
- NPI number
- 1003540576
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 149.010409 (IL)
Practice location
15 Green Acres Ln
Jonesboro, IL 62952-1325
Phone: (618) 697-3834
Street-level locationGet directions
Mailing address
15 Green Acres Ln
Jonesboro, IL 62952-1325
Registry dates
- Enumerated
- 2022-07-12
- Last updated
- 2022-07-12
- Certified
- 2022-07-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.