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1225682230 NPI number — CHELSEE JO NAJJAR MS

NPI Number: 1225682230
Health Care Provider/Practitioner: CHELSEE JO NAJJAR MS

Information about “1225682230” NPI (CHELSEE JO NAJJAR MS) exists in 1225682230 in HTML format HTML  |  1225682230 in plain Text format TXT  |  1225682230 in PDF (Portable Document Format) PDF  |  1225682230 in an XML format XML  formats.

NPI Number : 1225682230 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1225682230",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "NAJJAR",
    "FirstName": "CHELSEE",
    "MiddleName": "JO",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "MS",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "ALVARADO",
    "OtherFirstName": "CHELSEE",
    "OtherMiddleName": "JO",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "LMHC",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "15403 PLANTATION OAKS DR APT 8",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "TAMPA",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "33647-2162",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "763-412-6116",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1203 GOVERNORS SQUARE BLVD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "TALLAHASSEE",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "32301-2994",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "850-354-5806",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "07/29/2019",
    "LastUpdateDate": "11/10/2023",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "101YM0800X",
        "TaxonomyName": "Mental Health Counselor",
        "LicenseNumber": "22389",
        "LicenseNumberStateCode": "FL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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