Provider Demographics
NPI:1558754309
Name:PRICE, JASMYN (LPC)
Entity Type:Individual
Prefix:
First Name:JASMYN
Middle Name:
Last Name:PRICE
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 PA. AVE SE
Mailing Address - Street 2:15775
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20003-9997
Mailing Address - Country:US
Mailing Address - Phone:202-630-9795
Mailing Address - Fax:
Practice Address - Street 1:600 PA. AVE SE
Practice Address - Street 2:15775
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20003-9997
Practice Address - Country:US
Practice Address - Phone:202-630-9795
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-17
Last Update Date:2024-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCPRC14535101Y00000X, 101YP2500X, 101YM0800X, 101YP2500X
101YM0800X
MDLC5685101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional