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Individual
JAY WORDEN
Active
Individual
JAY WORDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMHC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
0174401
NM
101YM0800X
Mental Health Counselor
Primary
CCMH0194731
NM
Other
Enumeration date
12/30/2013
Last updated
03/06/2018
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