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General NPI Number Information
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NPI Number | 1154812626
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Entity Type | Individual
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Provider Name | JESSICA MCNEMAR LPCMH
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Gender | Female
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Dates
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Enumeration Date | 05/21/2018
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Last Update Date | 09/20/2023
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Provider Practice Location Address
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Address Line | 504 S CLAYTON ST
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City | WILMINGTON
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State | DE
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Zip | 19805-4211
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Country | US
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Telephone | 302-483-7949
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Fax | 302-483-7945
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Provider Business Mailing Address
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Address Line | 1805 BEECH ST
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City | WILMINGTON
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State | DE
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Zip | 19805-3838
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Country | US
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Telephone | 302-983-9585
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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 | PC-0000872
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License Number State | DE
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