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General NPI Number Information
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NPI Number | 1134486863
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Entity Type | Organization
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Legal Business Name | ES COUNSELING, LLC
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Dates
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Enumeration Date | 04/19/2012
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Last Update Date | 04/19/2012
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Provider Practice Location Address
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Address Line | 2330 TORBAY DR
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City | ORANGE PARK
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State | FL
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Zip | 32073-4277
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Country | US
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Telephone | 904-305-8380
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Fax |
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Provider Business Mailing Address
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Address Line | 2330 TORBAY DR
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City | ORANGE PARK
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State | FL
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Zip | 32073-4277
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Country | US
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Telephone | 904-305-8380
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | EDNA SCHAEFER
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Credential | LMHC
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Telephone | 904-305-8380
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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 | MH8098
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License Number State | FL
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