Individual
JASMINE ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCMHCA
Contact information
Practice address
1140 KILDAIRE FARM RD STE 206, CARY, NC 27511-4597
(252) 680-1029
Mailing address
483 BLACK ANGUS DR, GARNER, NC 27529-6834
(252) 202-9648
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
A17392
NC
101YM0800X
Mental Health Counselor
A17392
NC
Other
Enumeration date
04/05/2022
Last updated
04/05/2022
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