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Individual

MR. JASON EDWARD BRINCKMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MS, LPC

Contact information

Practice address
1983 MERRIMAC RD, BLACKSBURG, VA 24060-0345
(540) 577-1374
Mailing address
1983 MERRIMAC RD, BLACKSBURG, VA 24060-0345
(540) 577-1374

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701007787
VA

Other

Enumeration date
02/07/2023
Last updated
02/07/2023
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