Individual
MR. GILL WAYNE JASMINE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
1415 N 31ST ST APT 309, PHILADELPHIA, PA 19121-3641
(985) 817-5705
Mailing address
1415 N 31ST ST APT 309, PHILADELPHIA, PA 19121-3641
(985) 817-5705
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
8488
LA
101YP2500X
Professional Counselor
PC018919
PA
101YP2500X
Professional Counselor
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
N00212795
—
LA
Enumeration date
07/09/2020
Last updated
03/12/2026
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