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Individual

JASON MATTHEW CUBBIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LLPC

Contact information

Practice address
1435 N OAKLAND BLVD, WATERFORD, MI 48327-1549
(248) 406-0090
Mailing address
1435 N OAKLAND BLVD, WATERFORD, MI 48327-1549

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401009141
MI

Other

Enumeration date
08/30/2006
Last updated
07/08/2007
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