Jasmine Dominique Blue | Stafford, TX • PECOS Search

Jasmine Dominique Blue

Counselor

Behavioral Health & Social Service Providers

501 Murphy Rd Ste 400, Stafford, TX 77477-5417

(281) 969-8040 (713) 539-5727

PECOS Enrollment

Based on the most recent information from CMS, provider Jasmine Dominique Blue does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records today at 4:18 PM.

Profile Details

Provider ID
1548518079
Provider Type
Individual
Full Name
Blue, Jasmine Dominique
Credential
LPC

Gender
Female
Sole Proprietor
Yes
Enumeration Date
8/15/2012
Last Updated
7/21/2022

Contact Information

Practice Location

501 Murphy Rd Ste 400, Stafford, TX 77477-5417

Unlisted Fax

Mailing Location

15818 Whiteglade Ln, Houston, TX 77084-6800

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YP2500X Primary	Description Counselor Behavioral Health & Social Service Providers	License 68068 Texas