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General NPI Number Information
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NPI Number | 1851056956
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Entity Type | Individual
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Provider Name | JACQUELINE BARCO PHD
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Gender | Female
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Dates
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Enumeration Date | 11/03/2021
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Last Update Date | 07/09/2025
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Provider Practice Location Address
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Address Line | 13940 CEDAR RD STE 251
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City | UNIVERSITY HEIGHTS
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State | OH
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Zip | 44118-3204
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Country | US
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Telephone | 412-212-8387
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Fax | 216-424-6760
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Provider Business Mailing Address
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Address Line | 13318 MADISON AVE APT 3
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City | LAKEWOOD
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State | OH
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Zip | 44107-4888
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Country | US
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Telephone | 412-212-8387
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Fax | 216-424-6760
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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 | E.2001950
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | PC014576
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | P.08705
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License Number State | OH
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