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General NPI Number Information
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NPI Number | 1104952894
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Entity Type | Individual
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Provider Name | CAROLYN JEANNETTE GOVER M.A., N.C.C., L.P.C.
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Gender | Female
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Dates
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Enumeration Date | 02/26/2007
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Last Update Date | 12/07/2025
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Provider Practice Location Address
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Address Line | 125 LANDING DR
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City | REHOBOTH BEACH
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State | DE
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Zip | 19971-9766
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Country | US
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Telephone | 302-226-3661
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Fax | 302-226-9070
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Provider Business Mailing Address
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Address Line | 125 LANDING DR
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City | REHOBOTH BEACH
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State | DE
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Zip | 19971-9766
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Country | US
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Telephone | 302-226-3661
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Fax | 302-226-9070
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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 | PC0000156
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License Number State | DE
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