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1760527626 NPI number — JILL R SOKOLNICKI MS, LPCC-S

NPI Number: 1760527626
Health Care Provider/Practitioner: JILL R SOKOLNICKI MS, LPCC-S

Information about “1760527626” NPI (JILL R SOKOLNICKI MS, LPCC-S) exists in 1760527626 in HTML format HTML  |  1760527626 in plain Text format TXT  |  1760527626 in PDF (Portable Document Format) PDF  |  1760527626 in an XML format XML  formats.

NPI Number : 1760527626 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1760527626",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "SOKOLNICKI",
    "FirstName": "JILL",
    "MiddleName": "R",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "MS, LPCC-S",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "MARLOW",
    "OtherFirstName": "JILL",
    "OtherMiddleName": "R",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "MS, LPCC-S",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "PO BOX 4503",
    "SecondLineMailingAddress": "1111 E. 5TH ST.",
    "MailingAddressCityName": "DAYTON",
    "MailingAddressStateName": "OH",
    "MailingAddressPostalCode": "45401-4503",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "937-231-6581",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "3095 KETTERING BLVD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MORAINE",
    "PracticeLocationAddressStateName": "OH",
    "PracticeLocationAddressPostalCode": "45439-1983",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "937-913-1912",
    "PracticeLocationAddressFaxNumber": "937-913-1913",
    "EnumerationDate": "02/20/2007",
    "LastUpdateDate": "02/06/2017",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "101Y00000X",
        "TaxonomyName": "Counselor",
        "LicenseNumber": "E.0008166",
        "LicenseNumberStateCode": "OH",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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