Provider Demographics
NPI:1922854157
Name:JARMON, LA'QUASHIA R (MS, ALC)
Entity type:Individual
Prefix:
First Name:LA'QUASHIA
Middle Name:R
Last Name:JARMON
Suffix:
Gender:F
Credentials:MS, ALC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4940 PADDOCK CLUB CIR APT B
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36116-4243
Mailing Address - Country:US
Mailing Address - Phone:334-354-1309
Mailing Address - Fax:
Practice Address - Street 1:4171 LOMAC STREET
Practice Address - Street 2:SUITE F#1127
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36106
Practice Address - Country:US
Practice Address - Phone:334-267-7599
Practice Address - Fax:334-845-7002
Is Sole Proprietor?:No
Enumeration Date:2024-04-29
Last Update Date:2024-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALALC03824101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional