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General NPI Number Information
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NPI Number | 1679465124
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Entity Type | Organization
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Legal Business Name | JESSIE LOUIS-JEAN, MS, LMHC
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Dates
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Enumeration Date | 07/18/2025
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Last Update Date | 07/18/2025
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Provider Practice Location Address
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Address Line | 28 E OLD COUNTRY RD STE 6
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City | HICKSVILLE
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State | NY
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Zip | 11801-4292
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Country | US
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Telephone | 646-856-9151
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Fax | 631-614-5642
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Provider Business Mailing Address
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Address Line | 1383 PETERS BLVD
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City | BAY SHORE
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State | NY
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Zip | 11706-4847
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Country | US
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Telephone | 646-856-9151
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Fax | 631-614-5642
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Authorized Official
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Title or Position | OWNER
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Name | MRS. JESSIE M LOUIS JEAN
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Credential | LMHC
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Telephone | 646-856-9151
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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