Individual
JASMINE BLANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11770 E FOX CT, ALPHARETTA, GA 30005-7800
(470) 254-7050
Mailing address
206 SPRING CREEK LN, ATLANTA, GA 30350-3808
(501) 607-8997
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
AMFT000759
GA
Other
Enumeration date
07/10/2023
Last updated
07/10/2023
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