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General NPI Number Information
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NPI Number | 1144505306
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Entity Type | Individual
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Provider Name | JAYNE PERFECT LMHC/LIMHP
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Gender | Female
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Dates
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Enumeration Date | 10/19/2011
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Last Update Date | 08/07/2023
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Provider Practice Location Address
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Address Line | 300 W BROADWAY STE 240
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City | COUNCIL BLUFFS
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State | IA
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Zip | 51503-9028
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Country | US
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Telephone | 402-850-6052
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Fax | 712-340-1610
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Provider Business Mailing Address
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Address Line | 300 W BROADWAY STE 240
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City | COUNCIL BLUFFS
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State | IA
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Zip | 51503-9028
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Country | US
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Telephone | 402-850-6052
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Fax | 712-340-1610
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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 | 2184
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License Number State | NE
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 3365
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License Number State | NE
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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 | 078924
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License Number State | IA
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