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NPI Code Detail

MEDICARE: JASMINE JENKINS LCMHC

MEDICARE: JASMINE JENKINS LCMHC
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
1101YP2500XProfessional CounselorLPC013477GA
2101YM0800XMental Health Counselor23021NC
3101YM0800XMental Health Counselor007512GA

General Provider Information

NPI Number : 1699365783
Entity Type Code : Individual
Provider Name (Legal Business Name) : JASMINE JENKINS LCMHC
Provider Business Mailing Address
First Line : 400 TECHNOLOGY CT SE
Second Line :
City : SMYRNA
State : GA
Zip : 30082-5237
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1942 E 7TH ST STE 220
Second Line :
City : CHARLOTTE
State : NC
Zip : 28204-2557
Country : US
Telephone Number : 704-360-3637
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/22/2021
Last Update Date : 06/16/2026

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