Provider Demographics
NPI:1831520618
Name:JASSER-STONE, JAIME (PHD, LMHC, LPCC)
Entity type:Individual
Prefix:
First Name:JAIME
Middle Name:
Last Name:JASSER-STONE
Suffix:
Gender:F
Credentials:PHD, LMHC, LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2150 PORTOLA AVE # D107
Mailing Address - Street 2:
Mailing Address - City:LIVERMORE
Mailing Address - State:CA
Mailing Address - Zip Code:94551-1784
Mailing Address - Country:US
Mailing Address - Phone:352-222-9278
Mailing Address - Fax:
Practice Address - Street 1:2150 PORTOLA AVE # D107
Practice Address - Street 2:
Practice Address - City:LIVERMORE
Practice Address - State:CA
Practice Address - Zip Code:94551-1784
Practice Address - Country:US
Practice Address - Phone:352-222-9278
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-12-04
Last Update Date:2024-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH10000101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health