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Individual
JASON LEE DAUGHERTY
Active
Individual
JASON LEE DAUGHERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC, LCDC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
15411
TX
101YP2500X
Professional Counselor
Primary
82889
TX
Other
Enumeration date
08/02/2016
Last updated
04/04/2024
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