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General NPI Number Information
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NPI Number | 1578821856
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Entity Type | Organization
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Legal Business Name | JENNIFER CASTNER, LMHC, LLC
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Dates
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Enumeration Date | 04/24/2012
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Last Update Date | 04/24/2012
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Provider Practice Location Address
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Address Line | 1850 LEE RD SUITE 305
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City | WINTER PARK
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State | FL
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Zip | 32789-2115
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Country | US
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Telephone | 407-975-0414
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Fax | 407-975-0417
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Provider Business Mailing Address
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Address Line | 1850 LEE RD SUITE 305
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City | WINTER PARK
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State | FL
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Zip | 32789-2115
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Country | US
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Telephone | 407-975-0414
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Fax | 407-975-0417
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Authorized Official
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Title or Position | LICENSE MENTAL HEALTH COUNSELOR
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Name | MS. JENNIFER CASTNER
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Credential | LMHC, NCC, LLC
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Telephone | 407-975-0414
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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 | MH2693
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License Number State | FL
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