Individual
JASMINE R SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPCC
Contact information
Practice address
510 CUMBERLAND AVE, PORTLAND, ME 04101-2220
(207) 553-5948
Mailing address
510 CUMBERLAND AVE, PORTLAND, ME 04101-2220
(207) 553-5948
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
XL3624
ME
101YP2500X
Professional Counselor
Primary
CC5453
ME
Other
Enumeration date
04/20/2012
Last updated
03/05/2025
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