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General NPI Number Information
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NPI Number | 1740171651
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Entity Type | Organization
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Legal Business Name | MJ COUNSELING LLC
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Dates
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Enumeration Date | 07/10/2025
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Last Update Date | 04/16/2026
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Provider Practice Location Address
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Address Line | 515 LINCOLNWAY W
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City | MISHAWAKA
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State | IN
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Zip | 46544-1808
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Country | US
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Telephone | 574-208-3807
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Fax |
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Provider Business Mailing Address
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Address Line | 515 LINCOLNWAY W
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City | MISHAWAKA
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State | IN
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Zip | 46544-1808
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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 | OWNER
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Name | MONIQUE JAMESEN
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Credential |
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Telephone | 574-322-8671
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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