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General NPI Number Information
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NPI Number | 1184772402
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Entity Type | Individual
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Provider Name | JENNIFER A LEVERETT LMHC, NCC, LIMHP
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Gender | Female
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Dates
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Enumeration Date | 01/05/2007
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Last Update Date | 07/18/2024
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Provider Practice Location Address
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Address Line | 14679 230TH ST
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City | COUNCIL BLUFFS
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State | IA
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Zip | 51503-7223
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Country | US
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Telephone | 712-314-3326
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Fax |
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Provider Business Mailing Address
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Address Line | 14679 230TH ST
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City | COUNCIL BLUFFS
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State | IA
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Zip | 51503-7223
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Country | US
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Telephone | 712-314-3326
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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 | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 15634
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License Number State | MT
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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 | 961
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License Number State | IA
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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 | 3298
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License Number State | NE
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Taxonomy #4
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 2612
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License Number State | NE
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