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Organization
NEWLIFE BRIDGE COUNSELING PLLC
Active
Organization
NEWLIFE BRIDGE COUNSELING PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON JUNGSUB KIM PH.D, LPC-S (DIRECTOR)
(972) 835-4610
Entity
Organization
Contact information
Practice address
200 FLOWER MOUND RD, FLOWER MOUND, TX 75028-3421
(972) 835-4610
Mailing address
3304 EL DORADO DR, DENTON, TX 76210-1218
(972) 835-4610
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
62816
TX
Other
Enumeration date
09/03/2015
Last updated
01/05/2023
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