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General NPI Number Information
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NPI Number | 1740517747
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Entity Type | Individual
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Provider Name | JANE ELIZABETH GAINER BROOKS LPCC
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Gender | Female
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Dates
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Enumeration Date | 11/11/2009
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Last Update Date | 07/08/2025
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Provider Practice Location Address
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Address Line | 806 STONE CREEK PKWY STE 7
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City | LOUISVILLE
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State | KY
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Zip | 40223-5394
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Country | US
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Telephone | 502-424-2930
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Fax | 502-688-6652
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Provider Business Mailing Address
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Address Line | 419 11TH AVE W
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City | HUNTINGTON
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State | WV
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Zip | 25701-3029
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Country | US
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Telephone | 502-424-2930
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Fax | 502-688-6652
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 0640
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License Number State | KY
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