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General NPI Number Information
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NPI Number | 1568091676
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Entity Type | Individual
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Provider Name | JESSICA MICHELLE CABRERA-GUZHNAY LMHC
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Gender | Female
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Dates
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Enumeration Date | 04/02/2020
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Last Update Date | 04/02/2020
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Provider Practice Location Address
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Address Line | ONE GATEWAY PLAZA ST.3B
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City | PORT CHESTER
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State | NY
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Zip | 10573
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Country | US
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Telephone | 914-240-2241
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Fax | 914-937-3183
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Provider Business Mailing Address
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Address Line | 121 S HIGHLAND AVE APT 1L
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City | OSSINING
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State | NY
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Zip | 10562-5848
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Country | US
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Telephone | 914-727-0476
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Fax |
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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 | 010254-01
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License Number State | NY
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