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1366158867
JASON CHAMPLIN
PRESCOTT, AZ
NPI
1366158867
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: AZ LPC20200)
Enumeration Date
2023-01-27
Last Update Date
2023-01-27
Business Address
JASON CHAMPLIN LPC
3700 WILLOW CREEK RD
PRESCOTT, AZ 86301-3720
Phone number: 928-910-3376
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Mailing Address
JASON CHAMPLIN LPC
3700 WILLOW CREEK RD
PRESCOTT, AZ 86301-3721
Phone number:
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