Individual
JAZMIN CROOKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
621 W MADRONE ST, ROSEBURG, OR 97470-3090
(541) 440-3532
(541) 440-3554
Mailing address
PO BOX 1121, ROSEBURG, OR 97470-0254
(541) 672-2691
(833) 299-8415
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
83990
TX
106S00000X
Behavior Technician
RBT-18-48413
TX
Other
Enumeration date
10/30/2018
Last updated
06/09/2026
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