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NPI 1144231689

NPI 1144231689 : JAMI DEL PEGG LPC : HENDERSON, NV

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General NPI Number Information
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    NPI Number           |    1144231689
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    Entity Type          |    Individual 
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    Provider Name        |    JAMI DEL PEGG LPC
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/10/2006
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    Last Update Date     |    06/07/2024
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Provider Practice Location Address
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    Address Line         |    2810 LOCHBROOM WAY 
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    City                 |    HENDERSON
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    State                |    NV
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    Zip                  |    89044-8765
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    Country              |    US
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    Telephone            |    816-304-4967
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2810 LOCHBROOM WAY 
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    City                 |    HENDERSON
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    State                |    NV
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    Zip                  |    89044-8765
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    Country              |    US
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    Telephone            |    816-304-4967
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    Fax                  |    816-373-3939
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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       |    784
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    License Number State |    KS
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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       |    2001001598
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    License Number State |    MO
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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       |    CP1212R
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    License Number State |    NV
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