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NPI 1003481425

NPI 1003481425 : JENIFER LEE SLIDER LPC #2282 - WYOMING : LAKEVIEW, AR

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General NPI Number Information
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    NPI Number           |    1003481425
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    Entity Type          |    Individual 
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    Provider Name        |    JENIFER LEE SLIDER LPC #2282 - WYOMING
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    05/26/2021
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    Last Update Date     |    01/12/2026
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Provider Practice Location Address
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    Address Line         |    195 LAKEVIEW DR. 
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    City                 |    LAKEVIEW
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    State                |    AR
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    Zip                  |    72642
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    Country              |    US
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    Telephone            |    307-699-3320
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    Fax                  |    307-332-1640
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Provider Business Mailing Address
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    Address Line         |    195 LAKEVIEW DR. 
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    City                 |    LAKEVIEW
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    State                |    AR
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    Zip                  |    72642
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    Country              |    US
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    Telephone            |    307-699-3320
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    Fax                  |    307-332-1640
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    101YP2500X
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    Taxonomy Name        |    Professional Counselor
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    License Number       |    LPC2282
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    License Number State |    WY
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