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General NPI Number Information
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NPI Number | 1588386619
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Entity Type | Organization
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Legal Business Name | DMJ COUNSELING SERVICES, LLC
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Dates
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Enumeration Date | 09/15/2022
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Last Update Date | 09/15/2022
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Provider Practice Location Address
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Address Line | 8436 CROSSLAND LOOP STE 109
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City | MONTGOMERY
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State | AL
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Zip | 36117-8522
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Country | US
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Telephone | 334-590-4737
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Fax | 334-284-9399
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Provider Business Mailing Address
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Address Line | PO BOX 201578
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City | MONTGOMERY
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State | AL
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Zip | 36120-1578
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Country | US
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Telephone | 334-590-4737
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Fax | 334-284-9399
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Authorized Official
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Title or Position | CLINICAL DIRECTOR
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Name | MS. DEBRA D JARRETT
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Credential | LMFT
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Telephone | 334-590-4737
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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