Individual
JASMINE HERNDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 W UNAKA AVE, JOHNSON CITY, TN 37604-5507
(423) 408-8041
Mailing address
905 ANTIOCH RD APT 15, JOHNSON CITY, TN 37604-7042
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
04/08/2024
Last updated
04/21/2024
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