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General NPI Number Information
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NPI Number | 1235205824
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Entity Type | Individual
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Provider Name | JILLAINE A. DOWNEY LMHC
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Gender | Female
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Dates
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Enumeration Date | 11/27/2006
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Last Update Date | 04/03/2019
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Provider Practice Location Address
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Address Line | 1000 W THARPE ST STE 14
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City | TALLAHASSEE
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State | FL
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Zip | 32303-5300
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Country | US
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Telephone | 850-561-0717
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Fax | 850-414-6876
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Provider Business Mailing Address
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Address Line | 8365 INNSBROOK DR
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City | TALLAHASSEE
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State | FL
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Zip | 32312-4242
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Country | US
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Telephone | 850-524-8232
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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 | MH0001550
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License Number State | FL
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