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General NPI Number Information
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NPI Number | 1639641228
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Entity Type | Organization
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Legal Business Name | TRUE ME COUNSELING, LLC
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Dates
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Enumeration Date | 12/20/2018
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Last Update Date | 12/20/2018
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Provider Practice Location Address
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Address Line | 4570 SAINT JOHNS AVE STE 105C
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City | JACKSONVILLE
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State | FL
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Zip | 32210-1848
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Country | US
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Telephone | 904-742-9890
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Fax |
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Provider Business Mailing Address
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Address Line | 6797 GENTLE OAKS DR
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City | JACKSONVILLE
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State | FL
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Zip | 32244-3691
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Country | US
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Telephone | 904-742-9890
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Fax |
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | LAJOSHA S MILLER
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Credential | LMHC
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Telephone | 904-742-9890
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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 |
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License Number State |
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