Individual
JASMINE N CARLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LPC
Contact information
Practice address
454 1/2 SUNSET LN, PUEBLO, CO 81005-1190
(719) 557-0415
Mailing address
8964 PUEBLO MOUNTAIN PARK RD, BEULAH, CO 81023-9706
(719) 557-0415
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC.0021406
CO
101Y00000X
Counselor
—
—
Other
Enumeration date
06/03/2021
Last updated
10/23/2024
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