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General NPI Number Information
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NPI Number | 1316668577
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Entity Type | Individual
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Provider Name | JEREMY ALEXANDER HERRING LMHC
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Gender | Male
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Dates
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Enumeration Date | 09/07/2022
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Last Update Date | 06/29/2025
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Provider Practice Location Address
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Address Line | 1115 BROADWAY FL 10
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City | NEW YORK
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State | NY
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Zip | 10010-3454
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Country | US
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Telephone | 646-397-5255
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Fax | 914-462-4476
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Provider Business Mailing Address
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Address Line | 9519 SEASCAPE LN UNIT 3
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City | BERLIN
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State | MD
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Zip | 21811-2890
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Country | US
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Telephone | 919-641-1099
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 016253
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License Number State | NY
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