Individual
JASMINE BENTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MAED, LCMHCA
Contact information
Practice address
2520 TROY DR # 102, WILMINGTON, NC 28401-7661
(910) 762-2727
Mailing address
5413 SIRIUS DR UNIT 102, WILMINGTON, NC 28405-8500
(704) 438-4827
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A21117
NC
Other
Enumeration date
06/02/2025
Last updated
06/02/2025
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