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General NPI Number Information
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NPI Number | 1154213536
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Entity Type | Individual
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Provider Name | JESSICA KEYS LPC
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Gender | Female
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Dates
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Enumeration Date | 07/18/2025
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Last Update Date | 07/24/2025
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Provider Practice Location Address
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Address Line | 2400 ANSYS DR STE 102
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City | CANONSBURG
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State | PA
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Zip | 15317-0403
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Country | US
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Telephone | 724-320-2133
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Fax |
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Provider Business Mailing Address
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Address Line | 272 HAYS RD
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City | PITTSBURGH
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State | PA
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Zip | 15241-1813
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Country | US
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Telephone | 412-582-1514
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | PC018959
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License Number State | PA
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