Individual
JASMINE STEPHENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
22190 GARRISON ST STE 204, DEARBORN, MI 48124-2235
(313) 769-5705
Mailing address
22190 GARRISON ST STE 204, DEARBORN, MI 48124-2235
(313) 757-9379
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
6401016110
MI
101YP2500X
Professional Counselor
Primary
6401017404
MI
Other
Enumeration date
06/21/2017
Last updated
10/26/2020
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