Individual
JASMINE EYTHRIB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MC, LPC
Contact information
Practice address
2228 W IRONWOOD DR, CHANDLER, AZ 85224-8530
(602) 596-0312
Mailing address
2228 W IRONWOOD DR, CHANDLER, AZ 85224-8530
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC-20891
AZ
Other
Enumeration date
03/07/2023
Last updated
03/07/2023
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