Provider Demographics
NPI:1205526662
Name:NOBLES, JAZMYN DENA (MS, NCC, LPC-A)
Entity type:Individual
Prefix:
First Name:JAZMYN
Middle Name:DENA
Last Name:NOBLES
Suffix:
Gender:F
Credentials:MS, NCC, LPC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 FAIRWEATHER ST
Mailing Address - Street 2:
Mailing Address - City:DESOTO
Mailing Address - State:TX
Mailing Address - Zip Code:75115-1200
Mailing Address - Country:US
Mailing Address - Phone:214-450-1222
Mailing Address - Fax:
Practice Address - Street 1:610 UPTOWN BLVD STE 4000
Practice Address - Street 2:
Practice Address - City:CEDAR HILL
Practice Address - State:TX
Practice Address - Zip Code:75104-3534
Practice Address - Country:US
Practice Address - Phone:469-575-0222
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-09
Last Update Date:2023-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX88171101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health