Individual
JASMIN VILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2120 N CENTRAL AVE STE 130, PHOENIX, AZ 85004-1454
(602) 845-9569
Mailing address
2120 N CENTRAL AVE STE 130, PHOENIX, AZ 85004-1454
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LAC-20030
AZ
Other
Enumeration date
01/31/2025
Last updated
01/31/2025
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