Provider Demographics
NPI:1891073466
Name:JASPER AND ASSOCIATES, LLC
Entity Type:Organization
Organization Name:JASPER AND ASSOCIATES, LLC
Other - Org Name:JASPER AND ASSOCIATES
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OFFICE CONSULTANT
Authorized Official - Prefix:
Authorized Official - First Name:RHONDA
Authorized Official - Middle Name:
Authorized Official - Last Name:HOFFMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:505-326-0241
Mailing Address - Street 1:PO BOX 3602
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON
Mailing Address - State:NM
Mailing Address - Zip Code:87499-3602
Mailing Address - Country:US
Mailing Address - Phone:505-326-0241
Mailing Address - Fax:505-325-8356
Practice Address - Street 1:2901 E 20TH ST
Practice Address - Street 2:SUITE 104
Practice Address - City:FARMINGTON
Practice Address - State:NM
Practice Address - Zip Code:87402-4411
Practice Address - Country:US
Practice Address - Phone:505-326-0241
Practice Address - Fax:505-325-8356
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-29
Last Update Date:2011-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty