Individual
JASMINE N EATMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCAS, LPC, NCC
Contact information
Practice address
431 RIDGE ST, ALBEMARLE, NC 28001-4346
(704) 550-7220
Mailing address
431 RIDGE ST, ALBEMARLE, NC 28001-4346
(980) 581-3092
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
2626
NC
101YP2500X
Professional Counselor
8673
NC
Other
Enumeration date
04/19/2011
Last updated
01/12/2017
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