Fambro, Jasmine Anngenika
Fambro, Jasmine Anngenika is an individual health care provider with primary practice located at 43740 N Groesbeck Hwy , Clinton Township MI 48036-1139. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Behavior Technician, Technologists, Technicians & Other Technical Service Providers / Technician, Other, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Fambro, Jasmine Anngenika can be contacted via phone (586) 469-7629.Contact Information
Primary practice address
43740 N Groesbeck Hwy
Clinton Township MI 48036-1139
Phone: (586) 469-7629
Fax: (586) 466-4143
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | ||
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X | ||
| Technologists, Technicians & Other Technical Service Providers / Technician, Other | 247200000X | ||
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | 6801097829 | Michigan |
Profile Details
| NPI number | 1225372386 |
|---|---|
| LBN Legal business name | Fambro, Jasmine Anngenika |
| Credentials | LLMSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 15th, 2012 |
| Last updated | May 2nd, 2018 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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