Provider Demographics
NPI:1235926288
Name:JASMINE HERRERA-MARTINEZ, JASMINE TIARA (NCC,LPC-A)
Entity type:Individual
Prefix:
First Name:JASMINE
Middle Name:TIARA
Last Name:JASMINE HERRERA-MARTINEZ
Suffix:
Gender:F
Credentials:NCC,LPC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4030 N CENTRAL EXPY APT 406
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75204-3261
Mailing Address - Country:US
Mailing Address - Phone:469-258-5678
Mailing Address - Fax:
Practice Address - Street 1:533 W 12TH ST
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75208-6319
Practice Address - Country:US
Practice Address - Phone:972-755-9120
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-23
Last Update Date:2025-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health