Provider Demographics
NPI:1033920996
Name:HESTER, JASMINE (LMSW, CCM)
Entity type:Individual
Prefix:MS
First Name:JASMINE
Middle Name:
Last Name:HESTER
Suffix:
Gender:F
Credentials:LMSW, CCM
Other - Prefix:MS
Other - First Name:JASMINE
Other - Middle Name:
Other - Last Name:HESTER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMSW, CCM
Mailing Address - Street 1:4060 S FORK DR
Mailing Address - Street 2:
Mailing Address - City:SNELLVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30039-6499
Mailing Address - Country:US
Mailing Address - Phone:314-585-1919
Mailing Address - Fax:
Practice Address - Street 1:4060 S FORK DR
Practice Address - Street 2:
Practice Address - City:SNELLVILLE
Practice Address - State:GA
Practice Address - Zip Code:30039-6499
Practice Address - Country:US
Practice Address - Phone:314-585-1919
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-18
Last Update Date:2025-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAMSW012242101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional