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General NPI Number Information
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NPI Number | 1356167530
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Entity Type | Organization
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Legal Business Name | JESSICA WELKER MENTAL HEALTH COUNSELING, PLLC
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Dates
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Enumeration Date | 12/03/2024
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Last Update Date | 05/27/2025
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Provider Practice Location Address
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Address Line | 400 RUGBY RD APT 2A
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City | BROOKLYN
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State | NY
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Zip | 11226-5656
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Country | US
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Telephone | 917-626-4261
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Fax |
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Provider Business Mailing Address
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Address Line | 16 MADISON SQ W FL 12
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City | NEW YORK
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State | NY
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Zip | 10010-1629
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Country | US
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Telephone | 917-426-6820
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Fax |
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Authorized Official
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Title or Position | MEMBER-MANAGER
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Name | JESSICA WELKER
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Credential | LMHC
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Telephone | 917-426-6820
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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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