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General NPI Number Information
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NPI Number | 1306314661
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Entity Type | Individual
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Provider Name | JENNIFER WENTZ MEADOR MS, LPC, NCC
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Gender | Female
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Dates
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Enumeration Date | 11/05/2018
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Last Update Date | 05/07/2025
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Provider Practice Location Address
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Address Line | 1708 COUNTY ROAD 32
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City | JACHIN
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State | AL
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Zip | 36910-3210
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Country | US
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Telephone | 678-641-1477
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Fax |
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Provider Business Mailing Address
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Address Line | 300 LAKESHORE DR
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City | ENTERPRISE
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State | AL
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Zip | 36330-7804
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Country | US
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Telephone | 678-641-1477
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 657081
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 2420
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License Number State | MS
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 3973
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License Number State | AL
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Taxonomy #4
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | PC013684
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License Number State | PA
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Taxonomy #5
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LPC.0017271
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License Number State | CO
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Taxonomy #6
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | TPMC1060
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License Number State | FL
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Taxonomy #7
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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