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Individual

MRS. JASMIN DENISE MILES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCMHCA

Contact information

Practice address
2407 GRACE AVE, TRENT WOODS, NC 28562-4416
(252) 638-0185
Mailing address
3225 HARDEE FARMS DR, NEW BERN, NC 28562-8012
(202) 758-9426

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
A16150
NC
101YA0400X
Addiction (Substance Use Disorder) Counselor
A16150
NC
101YM0800X
Mental Health Counselor
Primary
A16150
NC
101YP2500X
Professional Counselor
A16150
NC

Other

Enumeration date
12/01/2020
Last updated
12/01/2020
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