Individual
JASMINE OLMSTEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1300 SUMMERS PL, PONCA CITY, OK 74604-4443
(406) 998-8390
Mailing address
1300 SUMMERS PL, PONCA CITY, OK 74604-4443
(406) 998-8390
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
EBH-LCSW-LIC-64390
MT
Other
Enumeration date
08/08/2023
Last updated
02/24/2025
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