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General NPI Number Information
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NPI Number | 1356116701
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Entity Type | Individual
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Provider Name | JESSICA HELEN DREWS MSE, LPC
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Gender | Female
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Dates
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Enumeration Date | 11/15/2023
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Last Update Date | 11/15/2023
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Provider Practice Location Address
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Address Line | 301 N BROADWAY STE 110
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City | DE PERE
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State | WI
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Zip | 54115-2557
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Country | US
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Telephone | 920-425-4900
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Fax |
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Provider Business Mailing Address
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Address Line | 2792 MAYFLOWER RD
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City | GREEN BAY
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State | WI
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Zip | 54311-6589
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Country | US
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Telephone | 920-450-7283
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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 | 6270-125
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License Number State | WI
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