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Individual
MR. KENNETH JAY ZUMBAUGH
Active
Individual
MR. KENNETH JAY ZUMBAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, LMHC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
39000953A
IN
101YM0800X
Mental Health Counselor
Primary
39000953A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000185891
ANTHEM
IN
Enumeration date
06/29/2006
Last updated
04/10/2008
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