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Individual
JEREMY KISKADDEN
Active
Individual
JEREMY KISKADDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A.
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LH60878145
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LH60878145
LICENSED MENTAL HEALTH COUNSELOR
WA
Enumeration date
12/02/2013
Last updated
02/07/2019
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