Individual
JASMINE CHASTITY MIMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
24904 LEAR LN, MORENO VALLEY, CA 92553-5875
(661) 742-4026
Mailing address
24904 LEAR LN, MORENO VALLEY, CA 92553-5875
(661) 742-4026
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
13628
CA
101Y00000X
Counselor
21581
CA
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP2500X
Professional Counselor
Primary
13628
CA
101YP2500X
Professional Counselor
Primary
21581
CA
104100000X
Social Worker
13628
CA
104100000X
Social Worker
21581
CA
Other
Enumeration date
01/11/2021
Last updated
05/01/2026
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