Individual
JASMINE JANEA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
280 EXECUTIVE PARK DR STE 100, CONCORD, NC 28025-1838
(704) 237-4240
Mailing address
280 EXECUTIVE PARK DR STE 100, CONCORD, NC 28025-1838
(704) 237-4240
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A18736
NC
106S00000X
Behavior Technician
—
—
247200000X
Other Technician
—
—
Other
Enumeration date
03/14/2016
Last updated
05/05/2023
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