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Individual
MR. JARAD EUGENE DURR
Active
Individual
MR. JARAD EUGENE DURR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMHC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CMH0208451
NM
101YM0800X
Mental Health Counselor
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CMH-0208451
NEW MEXICO STATE LICENSE
NM
Enumeration date
12/17/2019
Last updated
12/17/2019
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