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General NPI Number Information
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NPI Number | 1679300065
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Entity Type | Individual
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Provider Name | JENNA FLEMONS LCMHCA
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Gender | Female
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Dates
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Enumeration Date | 09/18/2024
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Last Update Date | 08/04/2025
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Provider Practice Location Address
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Address Line | 105 S BLOODWORTH ST
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City | RALEIGH
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State | NC
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Zip | 27601-1503
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Country | US
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Telephone | 919-977-0087
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Fax |
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Provider Business Mailing Address
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Address Line | 2801 STONE ROCK DR APT 105
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City | RALEIGH
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State | NC
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Zip | 27604-5309
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Country | US
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Telephone | 954-614-4547
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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 | FLEM-3ZIHUR
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License Number State | NC
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