MEDICARE: JASMINE ROBINSON LCMFT

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
1	106H00000X	Marriage & Family Therapist	LCM953	MD

General Provider Information

NPI Number	:	1285217554
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JASMINE ROBINSON LCMFT

Provider Business Mailing Address
First Line	:	600 ROLLING HILL WALK APT 202
Second Line	:
City	:	ODENTON
State	:	MD
Zip	:	21113-2458
Country	:	US
Telephone Number	:	301-974-1708
Fax Number	:

Provider Business Practice Location Address
First Line	:	5044 DORSEY HALL DR STE 204
Second Line	:
City	:	ELLICOTT CITY
State	:	MD
Zip	:	21042-7500
Country	:	US
Telephone Number	:	410-884-9200
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/04/2021
Last Update Date	:	05/28/2024

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