Individual
JASMINE LYNN POPE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW, LICDC
Contact information
Practice address
4334 W CENTRAL AVE STE 203, TOLEDO, OH 43615-1679
(419) 239-4079
Mailing address
1805 FAIRFAX RD, TOLEDO, OH 43613-5211
(419) 239-4079
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LICDC.161675
OH
1041C0700X
Clinical Social Worker
Primary
I.1801300
OH
Other
Enumeration date
07/05/2017
Last updated
02/19/2019
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