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General NPI Number Information
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NPI Number | 1679162200
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Entity Type | Organization
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Legal Business Name | JENNIFER SWANSON COUNSELING
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Dates
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Enumeration Date | 01/18/2021
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Last Update Date | 09/21/2021
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Provider Practice Location Address
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Address Line | 1294 SE 24TH RD
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City | OCALA
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State | FL
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Zip | 34471-6010
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Country | US
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Telephone | 406-565-1886
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Fax |
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Provider Business Mailing Address
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Address Line | 1294 SE 24TH RD
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City | OCALA
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State | FL
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Zip | 34471-6010
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Country | US
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Telephone | 406-565-1886
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JENNIFER SWANSON
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Credential | LMHC
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Telephone | 406-565-1886
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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 |
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License Number State |
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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 |
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License Number State |
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