Individual
JASMINE ONTIVEROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
1850 COPPER LOOP STE B, LAS CRUCES, NM 88005-8141
(575) 449-8159
Mailing address
1850 COPPER LOOP STE B, LAS CRUCES, NM 88005-8141
(575) 449-8159
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CMH0219571
NM
Other
Enumeration date
06/14/2022
Last updated
06/14/2022
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