Individual
JAZMINE WAITES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CDCA.168946
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
LICDC.162141
OH
101YP2500X
Professional Counselor
Primary
C.1902061
OH
Other
Enumeration date
08/24/2019
Last updated
03/24/2022
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