Individual provider · NPI-1

Jazzmyne Aaron, LCSW

Social Worker, Clinical · Dallas, TX

NPI number1326550997
StatusActive
Last updated in NPPESMar 7, 2022

Details

NPI
1326550997
Entity type
Individual (NPI-1)
Name
Jazzmyne Aaron
Credential
LCSW
Sex
Female
Sole proprietor
No
Enumeration date
Nov 3, 2017
Certification date
Mar 7, 2022
Last updated
Mar 7, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, Clinical62001TXYes

Practice location

5200 Harry Hines Blvd
Dallas, TX 75235-7709

Phone 214-773-7516

Mailing address

Po Box 353
Red Oak, TX 75154-0353

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