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NPI Code Detail

MEDICARE: JASMINE A CANTU

MEDICARE: JASMINE A CANTU
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselor95109TX
2225C00000XRehabilitation Counselor618814

General Provider Information

NPI Number : 1023994167
Entity Type Code : Individual
Provider Name (Legal Business Name) : JASMINE A CANTU
Provider Business Mailing Address
First Line : 4632 JUNIUS ST
Second Line :
City : DALLAS
State : TX
Zip : 75246-1090
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3601 SWISS AVE
Second Line :
City : DALLAS
State : TX
Zip : 75204-6225
Country : US
Telephone Number : 469-862-8301
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/13/2025
Last Update Date : 08/13/2025

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Directions to “ JASMINE A CANTU ” Practice Location

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