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General NPI Number Information
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NPI Number | 1679422562
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Entity Type | Individual
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Provider Name | JENNIFER ELIZABETH MCPHERSON LCMHCA
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Gender | Female
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Dates
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Enumeration Date | 01/24/2026
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Last Update Date | 01/24/2026
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Provider Practice Location Address
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Address Line | 942 W 4TH ST
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City | WINSTON SALEM
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State | NC
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Zip | 27101-2582
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Country | US
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Telephone | 336-355-8244
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Fax | 336-546-7630
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Provider Business Mailing Address
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Address Line | 142 NORMA LN
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City | ADVANCE
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State | NC
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Zip | 27006-7923
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Country | US
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Telephone | 336-425-8579
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | A21842
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License Number State | NC
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