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General NPI Number Information
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NPI Number | 1013729284
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Entity Type | Individual
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Provider Name | JENNA FITCHLEE MA, LPC ASSOCIATE
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Gender | Female
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Dates
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Enumeration Date | 01/23/2025
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Last Update Date | 01/23/2025
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Provider Practice Location Address
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Address Line | 505 WOODBRIDGE PKWY STE 300
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City | WYLIE
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State | TX
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Zip | 75098-7127
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Country | US
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Telephone | 972-989-7655
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Fax |
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Provider Business Mailing Address
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Address Line | 11010 HARMONY HILL LN APT 1205
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City | ROWLETT
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State | TX
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Zip | 75089-0137
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Country | US
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Telephone | 912-850-2092
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 97683
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License Number State | TX
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