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Individual
MR. JASON SCOTT UNDERHILL
Active
Individual
MR. JASON SCOTT UNDERHILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BSW, ICADC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1187
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1187
PUBLIC PROTECTION CABINET
KY
Enumeration date
01/24/2014
Last updated
01/24/2014
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