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General NPI Number Information
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NPI Number | 1013518109
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Entity Type | Individual
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Provider Name | JODI LYNN WHEELER WESTON LCSW
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Gender | Female
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Dates
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Enumeration Date | 11/04/2020
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Last Update Date | 03/29/2022
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Provider Practice Location Address
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Address Line | 58 N SUSSEX ST
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City | DOVER
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State | NJ
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Zip | 07801-4259
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Country | US
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Telephone | 973-989-7500
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Fax |
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Provider Business Mailing Address
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Address Line | 324 MANSFIELD VLG
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City | HACKETTSTOWN
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State | NJ
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Zip | 07840-3528
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Country | US
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Telephone | 201-874-5231
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Fax |
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 37LC00329000
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 44SC05786900
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 44SC05786900
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License Number State | NJ
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