Individual
JASMINE MATTHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
610 E BASELINE RD STE 5, PHOENIX, AZ 85042-6536
(602) 230-7373
(602) 441-5836
Mailing address
3101 N CENTRAL AVE STE 550, PHOENIX, AZ 85012-2635
(602) 230-7373
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LAC-19396
AZ
Other
Enumeration date
08/18/2022
Last updated
11/06/2023
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