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Individual
ELIJAHBEN JASSO
Active
Individual
ELIJAHBEN JASSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCPC, NCC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
BBH-LCPC-LIC-89881
MT
101YM0800X
Mental Health Counselor
Primary
BBH-PCLC-LIC-55503
MT
Other
Enumeration date
01/01/2025
Last updated
07/03/2026
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