| Doctor Name: | JAZMIN ROBERTS |
| NPI Number: | 1497124531 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.S. |
| License Number: | IMH10388 |
| Business Practice Address: | 7111 Oatbird Rd Weeki Wachee, FL - 346136345 |
| Business Phone Number: | 3523637237 |
| Business Fax Number: | |
| Mailing Address: | 7111 Oatbird Rd, WEEKI WACHEE |
| State: | FL |
| Postal Code: | 346136345 |
| Phone Number: | 3523637237 |
| Fax Number: | |
| NPI Enumeration Date: | 09/18/2015 |
| NPI Last Update Date: | 09/20/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | IMH10388 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |