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General NPI Number Information
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NPI Number | 1851811517
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Entity Type | Individual
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Provider Name | JESSICA H SWEENEY MA, LMHC, NCC
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Gender | Female
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Dates
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Enumeration Date | 06/23/2017
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Last Update Date | 10/15/2021
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Provider Practice Location Address
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Address Line | 1038 SE OCEAN BLVD STE C
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City | STUART
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State | FL
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Zip | 34996-2599
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Country | US
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Telephone | 772-774-7596
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Fax | 772-264-3838
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Provider Business Mailing Address
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Address Line | 1038 SE OCEAN BLVD STE C
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City | STUART
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State | FL
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Zip | 34996-2599
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Country | US
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Telephone | 772-774-7596
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Fax | 772-264-3838
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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 | MH14806
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License Number State | FL
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