Individual
JASMINE L CHURCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC, LICDC
Contact information
Practice address
800 COMMERCE DR, PERRYSBURG, OH 43551-5256
(419) 872-2419
Mailing address
3909 WOODLEY RD, TOLEDO, OH 43606-1169
(419) 475-4449
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
E.1300030-SUPV
OH
Other
Enumeration date
06/02/2011
Last updated
01/31/2025
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