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Ms. Jasmine Alicia Wallace, BS
Counselor in Red Bank, New Jersey
NPI 1194892620

Jasmine Alicia Wallace is a Counselor based in Asbury Park, NJ. Jasmine Alicia Wallace practices in Red Bank, NJ and has the professional credentials of BS. The NPI Number for Jasmine Alicia Wallace is 1194892620 and holds a License No. (New Jersey).

The current practice location address for Jasmine Alicia Wallace is 145 Maple Ave, Red Bank, NJ and can be reached out via phone at 732-747-9660 and via fax at 732-224-1396.

Location: 145 Maple Ave, Red Bank, NJ, 07712-6540
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1194892620
Provider Name
Jasmine Alicia Wallace
Credential
BS
Provider Entity Type
Individual
Gender
Female
Address
145 Maple Ave, Red Bank, NJ, 07712-6540
Phone Number
732-747-9660
Fax Number
732-224-1396
Provider Enumeration Date
11/29/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
145 Maple Ave
City
Red Bank
State
New Jersey
Zip
07701-1717
Phone Number
732-747-9660
Fax Number
732-224-1396
person
Provider Business Mailing Address Details
Address
145 Maple Ave
City
Red Bank
State
New Jersey
Zip
07701-1717
Phone Number
732-747-9660
Fax Number
732-224-1396
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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