Individual
MR. TERRY MAURICE JASPER JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3308 OASIS SPRINGS RD NE, RIO RANCHO, NM 87144-2579
(808) 489-3007
Mailing address
95-061 KAULUA ST, MILILANI, HI 96789-1509
(808) 489-3007
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SWB-2024-0076
NM
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
NM
261QM0850X
Adult Mental Health Clinic/Center
—
NM
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
NM
Other
Enumeration date
04/01/2026
Last updated
04/01/2026
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