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1902386576 NPI number — JEREMY MONTEMARANO LPC

NPI Number: 1902386576
Health Care Provider/Practitioner: JEREMY MONTEMARANO LPC

Information about “1902386576” NPI (JEREMY MONTEMARANO LPC) exists in 1902386576 in HTML format HTML  |  1902386576 in plain Text format TXT  |  1902386576 in PDF (Portable Document Format) PDF  |  1902386576 in an XML format XML  formats.

NPI Number : 1902386576 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1902386576",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MONTEMARANO",
    "FirstName": "JEREMY",
    "MiddleName": null,
    "NamePrefix": "MR.",
    "NameSuffix": null,
    "Credential": "LPC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "7607 BRIDENWOOD CT",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SPRING",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "77379-2812",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "8900 EASTLOCH DR STE M",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SPRING",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "77379-2337",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "832-498-2663",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "08/14/2018",
    "LastUpdateDate": "08/14/2018",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "101YP2500X",
        "TaxonomyName": "Professional Counselor",
        "LicenseNumber": "76402",
        "LicenseNumberStateCode": "TX",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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