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General NPI Number Information
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NPI Number | 1669334462
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Entity Type | Individual
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Provider Name | JAYLYN STEWART
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Gender | Female
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Dates
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Enumeration Date | 12/01/2025
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Last Update Date | 12/01/2025
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Provider Practice Location Address
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Address Line | 4243 E PIEDRAS DR STE 235
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City | SAN ANTONIO
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State | TX
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Zip | 78228-1421
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Country | US
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Telephone | 210-435-9924
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Fax |
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Provider Business Mailing Address
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Address Line | 15822 PLEASANT WELL DR
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City | SAN ANTONIO
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State | TX
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Zip | 78247-5614
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Country | US
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Telephone |
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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 | 95709
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License Number State | TX
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