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Individual
MR. MARK JAEGER
Active
Individual
MR. MARK JAEGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMHC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH11432
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MH11432
STATE LICENSE
FL
Enumeration date
10/03/2012
Last updated
05/04/2017
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