Provider Demographics
NPI:1033006390
Name:PRINCE, JASMINE (MA, LPC-A)
Entity type:Individual
Prefix:
First Name:JASMINE
Middle Name:
Last Name:PRINCE
Suffix:
Gender:F
Credentials:MA, LPC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:701 OREGON ST
Mailing Address - Street 2:
Mailing Address - City:SAN MARCOS
Mailing Address - State:TX
Mailing Address - Zip Code:78666-2333
Mailing Address - Country:US
Mailing Address - Phone:903-461-1837
Mailing Address - Fax:
Practice Address - Street 1:102 WHITETAIL DR STE 100
Practice Address - Street 2:
Practice Address - City:SAN MARCOS
Practice Address - State:TX
Practice Address - Zip Code:78666-9739
Practice Address - Country:US
Practice Address - Phone:903-461-1837
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-19
Last Update Date:2025-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX98871101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional