Individual provider · Type 1 NPI

Jasmine Taylor

Addiction (Substance Use Disorder) Counselor · Broken Arrow, OK

NPI number 1760206940 Active

Practice location

2548 E Kenosha St
Broken Arrow, OK 74014-6712

Fax (918) 355-0995

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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About NPI 1760206940

Jasmine Taylor's National Provider Identifier is 1760206940, issued on Nov 13, 2024. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Broken Arrow, OK. The record was last updated on Nov 13, 2024.