Healthcare Provider Details

I. General information

NPI: 1295095347
Provider Name (Legal Business Name): JASMINA JALBERT LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/23/2012
Last Update Date: 04/13/2026
Certification Date: 04/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9 COLLEGE ST
SOUTH HADLEY MA
01075-1148
US

IV. Provider business mailing address

9 COLLEGE ST
SOUTH HADLEY MA
01075-1148
US

V. Phone/Fax

Practice location:
  • Phone: 413-367-8684
  • Fax:
Mailing address:
  • Phone: 413-367-8684
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMA9203
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: