Provider Demographics
NPI:1740888312
Name:PAJAZETOVIC, JASMINA (LMHC, NCC)
Entity type:Individual
Prefix:
First Name:JASMINA
Middle Name:
Last Name:PAJAZETOVIC
Suffix:
Gender:F
Credentials:LMHC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:225 NE DARTMOOR DR STE 300
Mailing Address - Street 2:
Mailing Address - City:WAUKEE
Mailing Address - State:IA
Mailing Address - Zip Code:50263-9665
Mailing Address - Country:US
Mailing Address - Phone:515-650-2454
Mailing Address - Fax:
Practice Address - Street 1:225 NE DARTMOOR DR STE 300
Practice Address - Street 2:
Practice Address - City:WAUKEE
Practice Address - State:IA
Practice Address - Zip Code:50263-9665
Practice Address - Country:US
Practice Address - Phone:515-650-2454
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-15
Last Update Date:2022-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
IA101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health