Provider Demographics
NPI:1568218097
Name:ROZMAN, JAZMINE (DP-C)
Entity Type:Individual
Prefix:
First Name:JAZMINE
Middle Name:
Last Name:ROZMAN
Suffix:
Gender:F
Credentials:DP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:56720 CALUMET AVE
Mailing Address - Street 2:
Mailing Address - City:CALUMET
Mailing Address - State:MI
Mailing Address - Zip Code:49913-1904
Mailing Address - Country:US
Mailing Address - Phone:906-483-1177
Mailing Address - Fax:906-481-3094
Practice Address - Street 1:56720 CALUMET AVE
Practice Address - Street 2:
Practice Address - City:CALUMET
Practice Address - State:MI
Practice Address - Zip Code:49913-1904
Practice Address - Country:US
Practice Address - Phone:906-483-1177
Practice Address - Fax:906-481-3094
Is Sole Proprietor?:No
Enumeration Date:2024-04-25
Last Update Date:2024-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)