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General NPI Number Information
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NPI Number | 1386558724
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Entity Type | Organization
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Legal Business Name | JUELS COMMUNITY AND FAMILY WELLNESS SERVICES
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Dates
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Enumeration Date | 10/01/2026
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Last Update Date | 10/01/2026
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Provider Practice Location Address
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Address Line | 14381 S JAMES MADISON HWY
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City | DILLWYN
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State | VA
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Zip | 23936-2430
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Country | US
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Telephone | 434-981-0340
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Fax |
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Provider Business Mailing Address
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Address Line | 14087 W RIVER RD
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City | PALMYRA
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State | VA
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Zip | 22963-5392
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JUANITA ELAINE JACKSON
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Credential | LCPC
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Telephone | 434-981-0340
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State | NULL
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