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General NPI Number Information
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NPI Number | 1659840361
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Entity Type | Individual
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Provider Name | JESSICA MONIQUE VERMAAK LMHC-QS, LPCC-S
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Gender | Female
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Dates
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Enumeration Date | 11/26/2018
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Last Update Date | 12/21/2024
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Provider Practice Location Address
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Address Line | 1840 SW CRANE CREEK AVE
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City | PALM CITY
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State | FL
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Zip | 34990-2216
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Country | US
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Telephone | 561-350-6011
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Fax |
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Provider Business Mailing Address
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Address Line | 1840 SW CRANE CREEK AVE
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City | PALM CITY
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State | FL
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Zip | 34990-2216
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Country | US
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Telephone | 561-350-6011
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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 | E.1800949-SUP
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License Number State | OH
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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 | MH14675
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License Number State | FL
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