Individual provider · NPI-1

Jasmine Janea Smith

Counselor, Mental Health · Concord, NC

NPI number1689035065
StatusActive
Last updated in NPPESMay 5, 2023

Details

NPI
1689035065
Entity type
Individual (NPI-1)
Name
Jasmine Janea Smith
Sex
Female
Sole proprietor
No
Enumeration date
Mar 14, 2016
Certification date
Mar 20, 2023
Last updated
May 5, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YM0800X Counselor, Mental HealthA18736NCYes
106S00000X Behavior Technician––
247200000X Technician, Other––

Practice location

280 Executive Park Dr Ste 100
Concord, NC 28025-1838

Phone 704-237-4240

Mailing address

280 Executive Park Dr Ste 100
Concord, NC 28025-1838

Phone 704-237-4240

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Counselor, Mental Health providers in Concord, NC