# SHAMBHAVI JASTI

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1427856541
- **Gender:** F

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101Y00000X | Counselor | — | NULL | — |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 103T00000X | Psychologist | — | NULL | — |
| 103TA0400X | Addiction (Substance Use Disorder) Psychologist | — | NULL | — |
| 103TB0200X | Cognitive & Behavioral Psychologist | — | NULL | — |
| 103TC1900X | Counseling Psychologist | — | NULL | — |
| 103TC2200X | Clinical Child & Adolescent Psychologist | — | NULL | — |
| 103TH0100X | Health Service Psychologist | — | NULL | — |
| 103TP0814X | Psychoanalysis Psychologist | — | NULL | — |
| 261QM0801X | Mental Health Clinic/Center (Including Community Mental Health Center) | — | NULL | — |

## Other

- **Enumeration date:** 03/05/2025
- **Last updated:** 03/05/2025