Individual
JASMINE NICOLE MASTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
209 N BROAD ST STE A, NEW ORLEANS, LA 70119-5507
(504) 577-1154
Mailing address
209 N BROAD ST STE A, NEW ORLEANS, LA 70119-5507
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/09/2017
Last updated
03/20/2019
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