Provider Demographics
NPI:1144648619
Name:CEJNA, JASMINE CARLEN (LMHC, LPC, NCC)
Entity type:Individual
Prefix:
First Name:JASMINE
Middle Name:CARLEN
Last Name:CEJNA
Suffix:
Gender:F
Credentials:LMHC, LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:801 W FOURTH PLAIN BLVD
Mailing Address - Street 2:SUITE 300
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98660-2013
Mailing Address - Country:US
Mailing Address - Phone:971-208-5853
Mailing Address - Fax:
Practice Address - Street 1:801 W FOURTH PLAIN BLVD
Practice Address - Street 2:SUITE 300
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98660-2013
Practice Address - Country:US
Practice Address - Phone:971-208-5853
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-02
Last Update Date:2016-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACO60444935101YA0400X
WALH60589822101YM0800X
ORC4161101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)