Individual
JASMINE KEANA BERNARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, LSSW
Contact information
Practice address
7008 KAYSER MILL RD NW, ALBUQUERQUE, NM 87114-5977
(850) 240-6170
Mailing address
7008 KAYSER MILL RD NW, ALBUQUERQUE, NM 87114-5977
(850) 240-6170
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
M-10036
NM
1041C0700X
Clinical Social Worker
Primary
C-10974
NM
Other
Enumeration date
11/30/2017
Last updated
06/20/2023
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