Individual
MR. JASON THOMAS MCKEOWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S., LMFT
Contact information
Practice address
197 DEER VALLEY DRIVE, OLD FORT, NC 28762
(828) 242-2150
Mailing address
197 DEER VALLEY DRIVE, OLD FORT, NC 28762
(828) 242-2150
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1259
NC
Other
Enumeration date
01/08/2009
Last updated
01/08/2009
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