Provider Demographics
NPI:1447071956
Name:AGUIRRE, JASMIN JIANELIE (MS, LPC, NCC)
Entity type:Individual
Prefix:
First Name:JASMIN
Middle Name:JIANELIE
Last Name:AGUIRRE
Suffix:
Gender:F
Credentials:MS, LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1220 CINDY ST
Mailing Address - Street 2:
Mailing Address - City:CROWLEY
Mailing Address - State:TX
Mailing Address - Zip Code:76036-2910
Mailing Address - Country:US
Mailing Address - Phone:682-230-0368
Mailing Address - Fax:
Practice Address - Street 1:1220 CINDY ST
Practice Address - Street 2:
Practice Address - City:CROWLEY
Practice Address - State:TX
Practice Address - Zip Code:76036-2910
Practice Address - Country:US
Practice Address - Phone:682-230-0368
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-18
Last Update Date:2024-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX89335101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional