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Individual
JASON KIM
Active
Individual
JASON KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
62816
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
89583L
BCBS
TX
Enumeration date
02/05/2010
Last updated
12/28/2022
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