Doctor Name: | JASMINE ROLLINS |
NPI Number: | 1023366762 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A. |
License Number: | |
Business Practice Address: | 26137 La Paz Rd Mission Viejo, CA - 926915319 |
Business Phone Number: | 9495958861 |
Business Fax Number: | |
Mailing Address: | 26137 La Paz Rd Ste 230, MISSION VIEJO |
State: | CA |
Postal Code: | 926915337 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 08/28/2012 |
NPI Last Update Date: | 09/17/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |