Smith, Jazmanika Ikiah Maria
Smith, Jazmanika Ikiah Maria is an individual health care provider with primary practice located at 4203 Woodcock Dr Ste 216 , San Antonio TX 78228-1312. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Smith, Jazmanika Ikiah Maria can be contacted via phone (210) 564-9116.Contact Information
Primary practice address
4203 Woodcock Dr Ste 216
San Antonio TX 78228-1312
Phone: (210) 564-9116
Fax: (210) 564-9087
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 69263 | Texas |
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X |
Profile Details
| NPI number | 1285019489 |
|---|---|
| LBN Legal business name | Smith, Jazmanika Ikiah Maria |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 29th, 2015 |
| Last updated | Sep 20th, 2022 - about 4 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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