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General NPI Number Information
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NPI Number | 1295639458
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Entity Type | Individual
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Provider Name | STEPHANIE JESKA LMHC
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Gender | Female
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Dates
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Enumeration Date | 10/02/2026
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Last Update Date | 10/02/2026
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Provider Practice Location Address
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Address Line | 1992 LEWIS TURNER BLVD
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City | FORT WALTON BEACH
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State | FL
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Zip | 32547-1255
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Country | US
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Telephone | 850-757-1552
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Fax |
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Provider Business Mailing Address
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Address Line | 44 MEMORIAL PKWY NW
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City | FORT WALTON BEACH
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State | FL
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Zip | 32548-4649
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Country | US
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Telephone | 763-398-9790
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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 | 28607
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License Number State | FL
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