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General NPI Number Information
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NPI Number | 1659194264
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Entity Type | Organization
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Legal Business Name | SEASTAR COUNSELING SERVICES, PLLC
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Dates
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Enumeration Date | 11/02/2024
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Last Update Date | 11/02/2024
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Provider Practice Location Address
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Address Line | 10920 TREVINO ST
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City | ENGLEWOOD
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State | FL
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Zip | 34223-6700
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Country | US
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Telephone | 941-716-3716
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Fax |
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Provider Business Mailing Address
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Address Line | 10920 TREVINO ST
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City | ENGLEWOOD
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State | FL
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Zip | 34223-6700
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Country | US
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Telephone | 941-716-3716
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. JONATHAN DAVID STERN
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Credential | LMHC
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Telephone | 203-213-9987
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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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