Individual
JASMINE R PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDCA, OCPSA, QMHS
Contact information
Practice address
8255 SOUTH AVE, BOARDMAN, OH 44512-6483
(330) 318-3830
Mailing address
527 N MERIDIAN RD, YOUNGSTOWN, OH 44509-1227
(330) 797-0070
(330) 797-9146
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.193349
OH
171M00000X
Case Manager/Care Coordinator
—
OH
172V00000X
Community Health Worker
—
OH
405300000X
Prevention Professional
OCPSA.162245
OH
Other
Enumeration date
06/27/2023
Last updated
08/07/2025
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