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Individual

JASMINE ARIANA SIMMONS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, LCAS-A

Contact information

Practice address
3208 SUNSET AVE STE B, ROCKY MOUNT, NC 27804-3590
(252) 212-5524
Mailing address
3211 TILGHMAN RD N, WILSON, NC 27896-8940
(919) 928-6099

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
101YA0400X
Addiction (Substance Use Disorder) Counselor
101YM0800X
Mental Health Counselor
101YP2500X
Professional Counselor
Primary
15048
NC

Other

Enumeration date
06/24/2019
Last updated
11/08/2025
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