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General NPI Number Information
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NPI Number | 1497882260
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Entity Type | Individual
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Provider Name | JENNIFER L. PERLA LPC
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Gender | Female
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Dates
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Enumeration Date | 02/27/2007
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Last Update Date | 12/03/2024
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Provider Practice Location Address
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Address Line | 15851 DALLAS PKWY STE 600
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City | ADDISON
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State | TX
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Zip | 75001-6030
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Country | US
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Telephone | 214-649-4959
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Fax |
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Provider Business Mailing Address
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Address Line | 8399 APPLE BLOSSOM LN
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City | FLUSHING
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State | MI
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Zip | 48433-1192
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Country | US
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Telephone | 214-649-4959
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Fax | 866-627-5124
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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 | 6401019117
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 18968
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License Number State | TX
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