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General NPI Number Information
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NPI Number | 1629163092
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Entity Type | Individual
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Provider Name | JANETTA ELISHA BERRY-SISSOKO MSHR, LPC, LMHC
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Gender | Female
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Dates
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Enumeration Date | 10/03/2006
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Last Update Date | 05/07/2025
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Provider Practice Location Address
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Address Line | 320 W 37TH ST FL 7
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City | NEW YORK
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State | NY
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Zip | 10018-4289
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Country | US
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Telephone | 800-287-1802
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Fax |
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Provider Business Mailing Address
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Address Line | 320 W 37TH ST FL 7
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City | NEW YORK
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State | NY
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Zip | 10018-4289
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Country | US
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Telephone | 800-287-1802
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 85691
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 15805
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License Number State | CA
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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 | CP5791-R
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License Number State | NV
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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 | 61343410
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License Number State | WA
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Taxonomy #5
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 6303
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License Number State | OK
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Taxonomy #6
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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