Individual
JASMINE L. SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1520 29TH AVE STE 3, GULFPORT, MS 39501-2843
(228) 456-3116
Mailing address
296 BEAUVOIR ROAD SUITE 100 BOX 319, BILOXI, MS 39531
(228) 456-3116
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2401
MS
Other
Enumeration date
11/14/2019
Last updated
12/02/2019
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