Healthcare Provider Details

I. General information

NPI: 1558296756
Provider Name (Legal Business Name): JASMINE N. BLAIR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/17/2026
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7700 HARKINS RD APT 5078
LANHAM MD
20706-1464
US

IV. Provider business mailing address

7700 HARKINS RD APT 5078
LANHAM MD
20706-1464
US

V. Phone/Fax

Practice location:
  • Phone: 980-328-7465
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: