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Individual

MR. JASON DEWAYNE KING

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LPA-T, LCADC

Contact information

Practice address
1203 AMERICAN GREETING CARD RD, CORBIN, KY 40701-4811
(606) 528-7010
Mailing address
PO BOX 568, CORBIN, KY 40702-0568

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
297986
KY
101YM0800X
Mental Health Counselor
304681
KY
101YM0800X
Mental Health Counselor

Other

Enumeration date
01/12/2010
Last updated
06/12/2026
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