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General NPI Number Information
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NPI Number | 1023029030
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Entity Type | Individual
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Provider Name | JENNIFER KELLY GUILLETTE MA, NCC, LPC-S
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Gender | Female
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Dates
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Enumeration Date | 08/11/2006
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Last Update Date | 06/17/2024
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Provider Practice Location Address
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Address Line | 6991 PECAN STREET ST 300 W303
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City | FRISCO
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State | TX
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Zip | 75034-4252
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Country | US
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Telephone | 903-253-1633
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Fax | 469-777-3910
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Provider Business Mailing Address
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Address Line | PO BOX 1087
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City | FRISCO
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State | TX
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Zip | 75034
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Country | US
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Telephone | 903-253-1633
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Fax | 469-777-3910
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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 | 18373
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License Number State | TX
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