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General NPI Number Information
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NPI Number | 1679812168
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Entity Type | Organization
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Legal Business Name | JFRCOUNSELING, LLC
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Dates
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Enumeration Date | 02/05/2013
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Last Update Date | 08/11/2020
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Provider Practice Location Address
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Address Line | 4601 SHERIDAN ST STE 400
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City | HOLLYWOOD
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State | FL
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Zip | 33021
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Country | US
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Telephone | 561-617-3437
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Fax |
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Provider Business Mailing Address
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Address Line | 4601 SHERIDAN ST STE 400
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City | HOLLYWOOD
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State | FL
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Zip | 33021-3435
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Country | US
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Telephone | 561-617-3437
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. JULIAN FRANK RODRIGUEZ
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Credential | ED.S., M.ED., MCAP
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Telephone | 561-617-3437
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | L11000117623
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health 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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | ADC-010270-2015
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License Number State | FL
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