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General NPI Number Information
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NPI Number | 1114320769
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Entity Type | Individual
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Provider Name | JENNA MAHONEY LPCMH, NCC
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Gender | Female
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Dates
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Enumeration Date | 09/26/2014
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Last Update Date | 06/24/2025
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Provider Practice Location Address
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Address Line | 838 WALKER RD STE 22-3
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City | DOVER
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State | DE
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Zip | 19904-2751
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Country | US
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Telephone | 410-459-0228
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Fax |
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Provider Business Mailing Address
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Address Line | 17 KAITLYN DR
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City | TOWNSEND
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State | DE
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Zip | 19734-2419
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Country | US
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Telephone | 410-459-0228
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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 |
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License Number State |
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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 | PC-0000684
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License Number State | DE
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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | PC-000684
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License Number State | DE
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