Individual
JASMINE N BURGESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9001 WURZBACH RD, SAN ANTONIO, TX 78240-1058
(512) 230-0379
Mailing address
1910 PACIFIC AVE STE 2000, DALLAS, TX 75201-4540
(737) 443-0422
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
95727
TX
Other
Enumeration date
07/05/2024
Last updated
07/05/2024
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