Individual
JAZMIN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
0890135005
VT
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
07/14/2017
Last updated
11/28/2022
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