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General NPI Number Information
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NPI Number | 1780063297
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Entity Type | Individual
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Provider Name | JESSICA FEVRIER LMFT
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Gender | Female
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Dates
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Enumeration Date | 05/29/2015
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Last Update Date | 01/04/2024
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Provider Practice Location Address
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Address Line | 9400 4TH ST N
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City | SAINT PETERSBURG
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State | FL
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Zip | 33702-2531
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Country | US
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Telephone | 813-508-7866
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Fax |
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Provider Business Mailing Address
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Address Line | 771 69TH AVE S
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City | SAINT PETERSBURG
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State | FL
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Zip | 33705-6247
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Country | US
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Telephone | 727-599-4920
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Fax |
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 37FI00194000
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | P02597
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License Number State | NY
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Taxonomy #4
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MT4757
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License Number State | FL
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