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General NPI Number Information
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NPI Number | 1104994284
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Entity Type | Organization
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Legal Business Name | JAMISON PROFESSIONAL COUNSELING CENTER INC
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Dates
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Enumeration Date | 11/30/2006
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Last Update Date | 03/10/2025
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Provider Practice Location Address
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Address Line | 111 SONGBIRD DR
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City | FREDERICKSBURG
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State | TX
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Zip | 78624-5447
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Country | US
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Telephone | 325-829-9446
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1116
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City | FREDERICKSBURG
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State | TX
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Zip | 78624-1116
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Country | US
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Telephone | 325-829-9446
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | JEFFREY DAVID JAMISON
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Credential | LCSW
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Telephone | 325-829-9446
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 005794
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License Number State | TX
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