Individual
JASMINE GAINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
18740 W BLUEMOUND RD, BROOKFIELD, WI 53045-2936
(262) 782-0230
Mailing address
4001 S 76TH ST APT 7, MILWAUKEE, WI 53220-2344
(414) 803-4317
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
11030-125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9010271841
—
WI
Enumeration date
04/27/2019
Last updated
09/03/2025
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