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1023761855 NPI number — JENNIFER LEE-CLARK COUNSELING

NPI Number: 1023761855
Health Care Provider/Practitioner: JENNIFER LEE-CLARK COUNSELING

Information about “1023761855” NPI (JENNIFER LEE-CLARK COUNSELING) exists in 1023761855 in HTML format HTML  |  1023761855 in plain Text format TXT  |  1023761855 in PDF (Portable Document Format) PDF  |  1023761855 in an XML format XML  formats.

NPI Number : 1023761855 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1023761855",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "JENNIFER LEE-CLARK COUNSELING",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "70 MANNING ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "HUDSON",
    "MailingAddressStateName": "MA",
    "MailingAddressPostalCode": "01749-2212",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "781-325-8683",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "70 MANNING ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "HUDSON",
    "PracticeLocationAddressStateName": "MA",
    "PracticeLocationAddressPostalCode": "01749-2212",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "781-325-8683",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "02/01/2022",
    "LastUpdateDate": "08/25/2023",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "HUBER",
    "AuthorizedOfficialFirstName": "JENNIFER",
    "AuthorizedOfficialMiddleName": "ELIZABETH",
    "AuthorizedOfficialTitle": "MENTAL HEALTH COUNSELOR",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "LMHC",
    "AuthorizedOfficialTelephoneNumber": "203-530-0428",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "261QM0850X",
        "TaxonomyName": "Adult Mental Health Clinic/Center",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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