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General NPI Number Information
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NPI Number | 1730233248
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Entity Type | Individual
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Provider Name | JENNY ELIE JOLIVETTE M.A., L.P.C.
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Gender | Female
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Dates
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Enumeration Date | 01/22/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2825 WILCREST DR
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City | HOUSTON
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State | TX
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Zip | 77042-3391
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Country | US
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Telephone | 281-734-7409
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Fax | 281-584-9905
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Provider Business Mailing Address
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Address Line | 2335 GENTRYSIDE DR
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City | HOUSTON
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State | TX
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Zip | 77077-5522
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Country | US
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Telephone | 281-734-7409
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Fax | 281-584-9905
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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 | 17751
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License Number State | TX
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