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General NPI Number Information
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NPI Number | 1093485898
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Entity Type | Individual
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Provider Name | JESSICA OYEFUSI LCPC
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Gender | Female
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Dates
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Enumeration Date | 09/14/2021
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Last Update Date | 01/07/2025
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Provider Practice Location Address
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Address Line | 2950 BELCREST CENTER DR # 1009
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City | HYATTSVILLE
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State | MD
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Zip | 20782-1912
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Country | US
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Telephone | 469-251-0785
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Fax |
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Provider Business Mailing Address
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Address Line | 2950 BELCREST CENTER DR # 1009
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City | HYATTSVILLE
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State | MD
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Zip | 20782-1912
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Country | US
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Telephone | 214-991-2022
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 0701013448
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 836639
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | PC-0011542
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License Number State | DE
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Taxonomy #4
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | PRC200002035
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License Number State | DC
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Taxonomy #5
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LC14991
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License Number State | MD
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