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General NPI Number Information
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NPI Number | 1043912645
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Entity Type | Individual
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Provider Name | JESSICA WELKER MHC-LP
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Gender | Female
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Dates
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Enumeration Date | 03/20/2023
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Last Update Date | 06/28/2024
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Provider Practice Location Address
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Address Line | 57 W 57TH ST STE 704
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City | NEW YORK
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State | NY
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Zip | 10019-2802
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Country | US
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Telephone | 917-572-8114
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Fax |
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Provider Business Mailing Address
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Address Line | 400 RUGBY RD APT 2A
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City | BROOKLYN
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State | NY
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Zip | 11226-5656
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Country | US
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Telephone | 917-626-4261
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | P117077
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License Number State | NY
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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 | 014888
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License Number State | NY
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