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Individual
KIMBERLY ANNE JORGUSON
Active
Individual
KIMBERLY ANNE JORGUSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
CG61111490
WA
101YM0800X
Mental Health Counselor
Primary
MC61525524
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
164303
DEPT OF LABOR & INDUSTRIE
WA
01
—
4472JO
REGENCE BLUE SHIELD
WA
01
—
8933044
CRIME VICTIMS
WA
Enumeration date
07/12/2006
Last updated
05/21/2024
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