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1902023724
JASON MCKINNLEY KISHPAUGH
CORBIN, KY
NPI
1902023724
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: KY KY-1047)
Enumeration Date
2007-04-20
Last Update Date
2008-11-25
Business Address
Mr. JASON MCKINNLEY KISHPAUGH LPCC, MEd
1203 AMERICAN GREETING RD
CORBIN, KY 40701-4811
Phone number: 606-528-7010
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Mailing Address
Mr. JASON MCKINNLEY KISHPAUGH LPCC, MEd
PO BOX 568
CORBIN, KY 40702-0568
Phone number:
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