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General NPI Number Information
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NPI Number | 1447792163
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Entity Type | Organization
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Legal Business Name | APOLLO COUNSELING AND CONSULTING, LLC
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Dates
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Enumeration Date | 11/11/2016
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Last Update Date | 11/11/2016
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Provider Practice Location Address
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Address Line | 3810 MURRELL RD STE 363
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City | ROCKLEDGE
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State | FL
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Zip | 32955-4756
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Country | US
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Telephone | 815-919-8972
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Fax |
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Provider Business Mailing Address
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Address Line | 3810 MURRELL RD STE 363
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City | ROCKLEDGE
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State | FL
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Zip | 32955-4756
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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 | LEAD COUNSELOR
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Name | JACKSON MEEKER
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Credential | LCSW
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Telephone | 815-919-8972
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 12821
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License Number State | FL
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