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1033816376
JASON EDWARD BRINCKMAN
BLACKSBURG, VA
NPI
1033816376
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor Professional
(Licence: VA 0701007787)
Enumeration Date
2023-02-07
Last Update Date
2023-02-07
Business Address
MR. JASON EDWARD BRINCKMAN MS, LPC
1983 MERRIMAC RD
BLACKSBURG, VA 24060-0345
Phone number: 540-577-1374
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Mailing Address
MR. JASON EDWARD BRINCKMAN MS, LPC
1983 MERRIMAC RD
BLACKSBURG, VA 24060-0345
Phone number: 540-577-1374
Copy
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