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Individual
JACOB KERRY MCBRIDE
Active
Individual
JACOB KERRY MCBRIDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ACMHC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
10844181-6004
UT
101YM0800X
Mental Health Counselor
10844181-6009
UT
253J00000X
Foster Care Agency
—
NULL
Other
Enumeration date
07/25/2013
Last updated
10/04/2023
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