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General NPI Number Information
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NPI Number | 1598178048
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Entity Type | Individual
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Provider Name | REGINA POOLE LMHC, LPC, LCMHC
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Gender | Female
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Dates
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Enumeration Date | 06/03/2014
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Last Update Date | 03/07/2025
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Provider Practice Location Address
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Address Line | 1857 WELLS RD STE 232A
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City | ORANGE PARK
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State | FL
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Zip | 32073-2339
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Country | US
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Telephone | 904-570-5982
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Fax | 904-214-0144
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Provider Business Mailing Address
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Address Line | 9526 ARGYLE FOREST BLVD STE B2 #354
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City | JACKSONVILLE
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State | FL
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Zip | 32222
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Country | US
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Telephone | 904-570-5982
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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 | 18565
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LMHC10002074
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License Number State | MA
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | PC-0011252
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License Number State | DE
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Taxonomy #4
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 7339
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License Number State | SC
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Taxonomy #5
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | MH13350
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License Number State | FL
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