Individual
JASMIN BLOODSOE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AA. B.A. M.S NCC
Contact information
Practice address
4187 KENSINGTON CV, ATLANTA, GA 30349-2592
(404) 621-3387
Mailing address
831 FAIRWAYS CT STE A, STOCKBRIDGE, GA 30281-7278
(404) 621-3387
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
—
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC1900X
Counseling Psychologist
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
09/18/2023
Last updated
09/19/2023
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