Individual
MRS. JASMINE MARIE VAN ANTWERP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LCPC
Contact information
Practice address
313 W MENDENHALL ST, SUITE 10, BOZEMAN, MT 59715-3479
(406) 580-2243
Mailing address
313 W MENDENHALL ST, SUITE 10, BOZEMAN, MT 59715-3479
(406) 580-2243
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4679
MT
Other
Enumeration date
09/16/2013
Last updated
09/23/2015
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