Jasmine Detrice Ellison, LCSW-A
NPI #1003796467 in Goldsboro, North Carolina
Provider Information
- NPI Number
- 1003796467
- Entity Type
- Individual
- Name
- Jasmine Detrice Ellison, LCSW-A
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Credential
- LCSW-A
- Enumeration Date
- Sep 5, 2025
- Last Updated
- Oct 24, 2025
Practice Location
- Address
- 1503 WAYNE MEMORIAL DR STE E
- City
- Goldsboro
- State
- North Carolina
- ZIP Code
- 27534-2203
- Phone
- (919) 587-0001
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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