Mack, Jasmyn

Mack, Jasmyn is an sole proprietor health care provider with primary practice located at 363 Church St N Ste 260H , Concord NC 28025-4525. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / School is her primary health care specialty. Mack, Jasmyn can be contacted via phone (980) 263-9065.

Contact Information

Primary practice address
363 Church St N Ste 260H Concord NC 28025-4525
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X P020859 North Carolina
Behavioral Health & Social Service Providers / School 101YS0200X P020859 North Carolina

Profile Details

NPI number 1316782345
LBN Legal business name Mack, Jasmyn
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 1st, 2024
Last updated Jul 10th, 2024 - about 4 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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