Individual
JASMINE BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
6901 E CHAUNCEY LN APT 2081, PHOENIX, AZ 85054-5123
(678) 460-0345
Mailing address
6901 E CHAUNCEY LN APT 2081, PHOENIX, AZ 85054-5123
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LAC-23366
AZ
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
12/27/2017
Last updated
05/01/2025
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