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General NPI Number Information
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NPI Number | 1689023251
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Entity Type | Organization
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Legal Business Name | JESSICA B. MACRINO, LPC, LLC
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Dates
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Enumeration Date | 06/06/2016
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Last Update Date | 10/21/2025
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Provider Practice Location Address
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Address Line | 3939 W RIDGE RD STE B41
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City | ERIE
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State | PA
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Zip | 16506-1883
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Country | US
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Telephone | 814-682-5053
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Fax | 814-314-8548
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Provider Business Mailing Address
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Address Line | 3641 STERRETTANIA RD
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City | ERIE
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State | PA
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Zip | 16506-2826
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Country | US
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Telephone | 814-682-5053
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MRS. JESSICA BORRERO MACRINO
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Credential | LPC
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Telephone | 814-882-8258
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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 | PC007897
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License Number State | PA
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