Jasmine Cheyenne Ice

NPI #1689300923 in Bryant, Arkansas

Provider Information

NPI Number
1689300923
Entity Type
Individual
Name
Jasmine Cheyenne Ice
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Mental Health
Enumeration Date
Jul 28, 2022
Last Updated
Jul 28, 2022

Practice Location

Address
3401 HWY 5 N STE 2
City
Bryant
ZIP Code
72019-9103
Phone
(501) 777-5969

Specialties & Taxonomy Codes

Specialty
Counselor - Mental HealthMental Health

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