Individual
JASMEKA MONAE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
780 FISHERMAN ST, OPA LOCKA, FL 33054-3806
(786) 398-1511
Mailing address
18135 NW 25TH CT, MIAMI GARDENS, FL 33056-3632
(786) 398-1511
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
101YS0200X
School Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
3543
FL
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
09/06/2018
Last updated
09/06/2018
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