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Individual
MR. JAN PAUL SILVERIO
Active
Individual
MR. JAN PAUL SILVERIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1417
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
242488
—
OR
01
—
R173680
PTAN
OR
Enumeration date
07/19/2006
Last updated
08/18/2015
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