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General NPI Number Information
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NPI Number | 1508451568
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Entity Type | Organization
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Legal Business Name | JOURNEY WITH COMPASSION COUNSELING
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Dates
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Enumeration Date | 03/02/2021
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Last Update Date | 03/02/2021
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Provider Practice Location Address
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Address Line | 12443 SAN JOSE BLVD STE 202
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City | JACKSONVILLE
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State | FL
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Zip | 32223-8648
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Country | US
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Telephone | 904-438-4399
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Fax |
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Provider Business Mailing Address
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Address Line | 10075 GATE PKWY N APT 2006
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City | JACKSONVILLE
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State | FL
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Zip | 32246-4446
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Country | US
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Telephone | 845-825-6739
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Fax |
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Authorized Official
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Title or Position | COUNSELOR
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Name | ERIN L MORAN
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Credential | MS, LMHC
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Telephone | 845-825-6739
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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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