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General NPI Number Information
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NPI Number | 1760163943
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Entity Type | Organization
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Legal Business Name | JLA COUNSELING, LLC
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Dates
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Enumeration Date | 07/31/2023
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Last Update Date | 12/10/2024
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Provider Practice Location Address
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Address Line | 44 WASHINGTON ST # 1015
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City | MORRISTOWN
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State | NJ
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Zip | 07960-3931
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Country | US
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Telephone | 973-216-4861
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Fax |
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Provider Business Mailing Address
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Address Line | 127 RADIUM ST NW
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City | MARIETTA
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State | GA
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Zip | 30060-1337
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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 | MANAGER
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Name | MICHELLE BURNEY
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Credential |
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Telephone | 973-510-5578
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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