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General NPI Number Information
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NPI Number | 1588076079
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Entity Type | Organization
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Legal Business Name | JENNIFER ESTRADA, INC.
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Dates
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Enumeration Date | 06/02/2014
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Last Update Date | 02/22/2024
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Provider Practice Location Address
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Address Line | 2393 S CONGRESS AVE STE 211
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City | PALM SPRINGS
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State | FL
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Zip | 33406-7628
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Country | US
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Telephone | 561-320-2104
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Fax |
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Provider Business Mailing Address
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Address Line | 3500 GEORGIA AVE
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City | WEST PALM BEACH
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State | FL
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Zip | 33405-1833
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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 | PSYCHOTHERAPIST
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Name | JENNIFER ESTRADA
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Credential |
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Telephone | 561-320-2104
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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 | MH9160
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License Number State | FL
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