Individual
JASMINE JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
400 TECHNOLOGY CT SE, SMYRNA, GA 30082-5237
(770) 431-2354
Mailing address
400 TECHNOLOGY CT SE, SMYRNA, GA 30082-5237
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
007512
GA
101YP2500X
Professional Counselor
Primary
LPC013477
GA
Other
Enumeration date
01/22/2021
Last updated
02/01/2023
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