MEDICARE: MISS JAZMIN MAYA WILLIAMS

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	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1457163933
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS JAZMIN MAYA WILLIAMS

Provider Business Mailing Address
First Line	:	11 BARNEGAT LN
Second Line	:
City	:	JACKSON
State	:	NJ
Zip	:	08527-3229
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	11 BARNEGAT LN
Second Line	:
City	:	JACKSON
State	:	NJ
Zip	:	08527-3229
Country	:	US
Telephone Number	:	908-670-1666
Fax Number	:

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

Provider Enumeration Date	:	01/22/2025
Last Update Date	:	01/22/2025

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Directions to “ MISS JAZMIN MAYA WILLIAMS ” Practice Location

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