Individual
JASON E MCBRIDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1212 W LOMBARD ST, SPRINGFIELD, MO 65806-2720
(417) 865-1646
Mailing address
1212 W LOMBARD ST, SPRINGFIELD, MO 65806-2720
(417) 865-1646
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2007020133
MO
Other
Enumeration date
09/23/2008
Last updated
09/23/2008
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