Individual
JASMINE WEBSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, LMFT-IT
Contact information
Practice address
3200 W HIGHLAND BLVD, MILWAUKEE, WI 53208-3252
(414) 342-4560
Mailing address
11241 SYNERGY DR APT 350, WAUWATOSA, WI 53222-1345
(414) 737-5252
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
106H00000X
WI
1041C0700X
Clinical Social Worker
Primary
—
WI
106H00000X
Marriage & Family Therapist
—
WI
390200000X
Student in an Organized Health Care Education/Training Program
106H00000X
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39-0806174
—
WI
Enumeration date
09/30/2016
Last updated
02/13/2021
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