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General NPI Number Information
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NPI Number | 1063023984
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Entity Type | Individual
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Provider Name | JASMINE JAMIERSON MA, LLPC
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Gender | Female
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Dates
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Enumeration Date | 08/13/2020
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Last Update Date | 08/13/2020
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Provider Practice Location Address
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Address Line | 140 MICHIGAN AVE W
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City | BATTLE CREEK
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State | MI
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Zip | 49017-3602
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Country | US
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Telephone | 269-966-1460
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Fax |
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Provider Business Mailing Address
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Address Line | 200 ARBOR POINTE DR
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City | BATTLE CREEK
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State | MI
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Zip | 49037-2036
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Country | US
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Telephone | 269-719-9098
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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 | 6401015275
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License Number State | MI
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