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General NPI Number Information
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NPI Number | 1184921801
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Entity Type | Individual
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Provider Name | JESSICA MCKAY
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Gender | Female
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Dates
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Enumeration Date | 02/15/2011
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Last Update Date | 07/19/2024
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Provider Practice Location Address
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Address Line | 2009 MEDICAL CENTER DR
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City | BAY MINETTE
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State | AL
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Zip | 36507-4163
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Country | US
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Telephone | 251-937-2010
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Fax |
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Provider Business Mailing Address
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Address Line | 2009 MEDICAL CENTER DR
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City | BAY MINETTE
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State | AL
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Zip | 36507-4163
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Country | US
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Telephone |
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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 |
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License Number State |
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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 | L347
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License Number State | AL
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