Individual
JASMINE CLANTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PLMHP
Contact information
Practice address
11071 W MAPLE RD, OMAHA, NE 68164-2604
(402) 932-8885
Mailing address
11071 W MAPLE RD, OMAHA, NE 68164-2604
(402) 932-8884
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
12935
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
15580364
—
NE
Enumeration date
05/20/2022
Last updated
06/03/2022
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