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General NPI Number Information
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NPI Number | 1326490327
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Entity Type | Organization
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Legal Business Name | JENNA FLEMING COUNSELING, PLLC
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Dates
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Enumeration Date | 07/01/2016
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Last Update Date | 07/01/2016
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Provider Practice Location Address
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Address Line | 3003 DAWN DR STE 108
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City | GEORGETOWN
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State | TX
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Zip | 78628-2800
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Country | US
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Telephone | 512-789-1402
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Fax |
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Provider Business Mailing Address
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Address Line | 314 COUNTY ROAD 261
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City | GEORGETOWN
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State | TX
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Zip | 78633-6674
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Country | US
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Telephone | 512-789-1402
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. JENNIFER FLEMING
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Credential | LPC
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Telephone | 512-789-1402
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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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