Individual
JASMINE ROSE TIMM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
755 HIGHLAND OAKS DR STE 105, WINSTON SALEM, NC 27103-7106
(336) 370-5240
Mailing address
PO BOX 26832, WINSTON SALEM, NC 27114-6832
(541) 505-1215
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A16801
NC
Other
Enumeration date
09/15/2020
Last updated
08/03/2021
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