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General NPI Number Information
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NPI Number | 1053465245
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Entity Type | Individual
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Provider Name | CLAIRE JO TUEPKER LPC LMFT
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Gender | Female
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Dates
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Enumeration Date | 01/23/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 100 LA ROSA ROAD SUITE A
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City | LONG BEACH
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State | MS
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Zip | 39560-5810
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Country | US
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Telephone | 228-868-3713
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Fax | 228-864-2629
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Provider Business Mailing Address
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Address Line | PO BOX 76
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City | LONG BEACH
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State | MS
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Zip | 39560-0076
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Country | US
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Telephone | 228-868-3713
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Fax | 228-864-2629
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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 | 56
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License Number State | MS
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | T0032
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License Number State | MS
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