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General NPI Number Information
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NPI Number | 1679963953
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Entity Type | Individual
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Provider Name | ALEXANDRA JACOBI M.S., LPC, LCPC
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Gender | Female
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Dates
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Enumeration Date | 01/26/2015
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Last Update Date | 08/27/2018
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Provider Practice Location Address
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Address Line | 1400 20TH ST NW
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City | WASHINGTON
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State | DC
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Zip | 20036
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Country | US
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Telephone | 443-470-9042
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Fax |
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Provider Business Mailing Address
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Address Line | 1239 VERMONT AVE NW APT 506
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City | WASHINGTON
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State | DC
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Zip | 20005-3648
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Country | US
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Telephone |
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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 | LC6038
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License Number State | MD
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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 | PRC15034
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License Number State | DC
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