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General NPI Number Information
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NPI Number | 1023761855
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Entity Type | Organization
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Legal Business Name | JENNIFER LEE-CLARK COUNSELING
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Dates
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Enumeration Date | 02/01/2022
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Last Update Date | 08/25/2023
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Provider Practice Location Address
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Address Line | 70 MANNING ST
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City | HUDSON
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State | MA
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Zip | 01749-2212
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Country | US
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Telephone | 781-325-8683
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Fax |
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Provider Business Mailing Address
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Address Line | 70 MANNING ST
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City | HUDSON
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State | MA
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Zip | 01749-2212
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Country | US
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Telephone | 781-325-8683
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Fax |
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Authorized Official
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Title or Position | MENTAL HEALTH COUNSELOR
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Name | JENNIFER ELIZABETH HUBER
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Credential | LMHC
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Telephone | 203-530-0428
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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