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1184253734
JASON NICHOLAS JOSEPH
IRVING, TX
NPI
1184253734
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: TX 16108)
Enumeration Date
2020-04-06
Last Update Date
2020-04-07
Business Address
JASON NICHOLAS JOSEPH LPC
5525 N MACARTHUR BLVD STE 800
IRVING, TX 75038-2646
Phone number: 972-804-3397
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Mailing Address
JASON NICHOLAS JOSEPH LPC
100 CIMARRON WAY
IRVING, TX 75063-4767
Phone number: 214-600-4830
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