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General NPI Number Information
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NPI Number | 1194363150
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Entity Type | Individual
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Provider Name | YURIAN JUCA LMHC
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Gender | Female
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Dates
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Enumeration Date | 12/20/2019
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Last Update Date | 08/28/2025
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Provider Practice Location Address
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Address Line | 6534 SW 34TH ST
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City | MIAMI
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State | FL
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Zip | 33155-3958
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Country | US
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Telephone | 305-903-8895
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Fax |
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Provider Business Mailing Address
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Address Line | NORTHWEST REGISTERED AGENT LLC 7901 4TH ST N STE 300
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City | ST PETERBURGH
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State | FL
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Zip | 33702
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Country | US
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Telephone | 305-903-8895
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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 | MH25555
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License Number State | FL
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