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General NPI Number Information
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NPI Number | 1891643458
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Entity Type | Individual
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Provider Name | KATELYNN MEJIA LSW
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Gender | Female
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Dates
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Enumeration Date | 03/19/2026
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Last Update Date | 03/19/2026
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Provider Practice Location Address
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Address Line | 1980 WOODBRIDGE AVE
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City | EDISON
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State | NJ
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Zip | 08817-4452
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Country | US
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Telephone | 908-267-4605
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Fax |
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Provider Business Mailing Address
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Address Line | 100 MARKET ST FL 2
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City | CLIFTON
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State | NJ
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Zip | 07012-2405
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Country | US
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Telephone | 201-431-2340
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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 | 44SL07364400
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License Number State | NJ
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