Provider Demographics
NPI:1154182574
Name:GARCIA-SOLIS, JASMIN (LCSWA)
Entity type:Individual
Prefix:
First Name:JASMIN
Middle Name:
Last Name:GARCIA-SOLIS
Suffix:
Gender:F
Credentials:LCSWA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:512 KELLY CIR
Mailing Address - Street 2:
Mailing Address - City:ASHEBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27203-3295
Mailing Address - Country:US
Mailing Address - Phone:336-460-0473
Mailing Address - Fax:
Practice Address - Street 1:163 CHATHAM BUSINESS DR
Practice Address - Street 2:
Practice Address - City:PITTSBORO
Practice Address - State:NC
Practice Address - Zip Code:27312-9726
Practice Address - Country:US
Practice Address - Phone:919-545-7337
Practice Address - Fax:919-545-7338
Is Sole Proprietor?:No
Enumeration Date:2024-01-22
Last Update Date:2024-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCPO188451041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical