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General NPI Number Information
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NPI Number | 1255792503
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Entity Type | Individual
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Provider Name | JENNIFER COUCH LPCC
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Gender | Female
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Dates
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Enumeration Date | 03/15/2016
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Last Update Date | 04/22/2025
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Provider Practice Location Address
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Address Line | 4135 DIXIE HWY
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City | ELSMERE
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State | KY
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Zip | 41018-1815
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Country | US
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Telephone | 513-834-7063
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Fax |
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Provider Business Mailing Address
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Address Line | 615 ELSINORE PL STE 200
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City | CINCINNATI
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State | OH
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Zip | 45202-1459
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Country | US
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Telephone | 513-834-7063
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 242571
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License Number State | KY
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