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General NPI Number Information
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NPI Number | 1871895227
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Entity Type | Individual
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Provider Name | JONATHAN HUDAK LPC, NCC, MA
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Gender | Male
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Dates
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Enumeration Date | 11/17/2010
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Last Update Date | 09/05/2024
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Provider Practice Location Address
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Address Line | 406 N SPRING ST STE 2
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City | PERRYVILLE
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State | MO
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Zip | 63775-1912
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Country | US
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Telephone | 573-547-8305
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Fax | 573-547-8306
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Provider Business Mailing Address
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Address Line | 406 N SPRING ST STE 2
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City | PERRYVILLE
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State | MO
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Zip | 63775-1912
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Country | US
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Telephone | 573-547-8305
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Fax | 573-547-8306
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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 | 2010038924
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License Number State | MO
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