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Individual
JENNIFER Y NAMKOONG
Active
Individual
JENNIFER Y NAMKOONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, LCDC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
14122
TX
101YP2500X
Professional Counselor
Primary
78423
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04932190
BLUE CROSS BLUE SHIELD
IL
01
—
1093849978
NPI
TX
Enumeration date
03/15/2007
Last updated
03/17/2018
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