Individual
MS. JASMINE Y WYNN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
65 YELLOW BLOSSOM RD, CEDARBLUFF, MS 39741-9010
(662) 425-2210
Mailing address
65 YELLOW BLOSSOM RD, CEDARBLUFF, MS 39741-9010
(662) 425-2210
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
C11411
MS
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
01/15/2025
Last updated
01/15/2025
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