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Individual

JASMINE SAMUEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1518 WILLOW LAWN DR, RICHMOND, VA 23230-3419
(804) 370-1050
Mailing address
2808 WINDSORVIEW DR, RICHMOND, VA 23225-1826

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1041C0700X
Clinical Social Worker
106S00000X
Behavior Technician
Primary

Other

Enumeration date
01/17/2022
Last updated
02/09/2026
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