Provider Demographics
NPI:1205329539
Name:SALMON, JASMINE (LLMSW)
Entity type:Individual
Prefix:
First Name:JASMINE
Middle Name:
Last Name:SALMON
Suffix:
Gender:F
Credentials:LLMSW
Other - Prefix:
Other - First Name:JASMINE
Other - Middle Name:
Other - Last Name:DOSS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 1588
Mailing Address - Street 2:
Mailing Address - City:MUSKEGON
Mailing Address - State:MI
Mailing Address - Zip Code:49443
Mailing Address - Country:US
Mailing Address - Phone:231-722-7980
Mailing Address - Fax:
Practice Address - Street 1:8 W WALTON AVE
Practice Address - Street 2:
Practice Address - City:MUSKEGON
Practice Address - State:MI
Practice Address - Zip Code:49440
Practice Address - Country:US
Practice Address - Phone:231-722-7980
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-12
Last Update Date:2024-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68011025971041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical