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Individual
KIMBERLY JARA
Active
Individual
KIMBERLY JARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., LPCC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
2198
MN
101YP2500X
Professional Counselor
Primary
2198
MN
Other
Enumeration date
09/25/2019
Last updated
01/07/2020
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