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NPI Code Detail

MEDICARE: MARCUS TAYLOR JASMIN LAC, NCC

MEDICARE:   MARCUS TAYLOR JASMIN  LAC, NCC
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
1101Y00000XCounselor37AC00926100NJ

General Provider Information

NPI Number : 1598624876
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARCUS TAYLOR JASMIN LAC, NCC
Provider Business Mailing Address
First Line : 874 POMPTON AVE STE B1
Second Line :
City : CEDAR GROVE
State : NJ
Zip : 07009-1213
Country : US
Telephone Number : 833-937-2724
Fax Number :
Provider Business Practice Location Address
First Line : 874 POMPTON AVE STE B1
Second Line :
City : CEDAR GROVE
State : NJ
Zip : 07009-1213
Country : US
Telephone Number : 833-937-2724
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/21/2026
Last Update Date : 01/21/2026

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Directions to “ MARCUS TAYLOR JASMIN LAC, NCC” Practice Location

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