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General NPI Number Information
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NPI Number | 1902623820
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Entity Type | Organization
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Legal Business Name | JSUAREZ LPC
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Dates
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Enumeration Date | 09/23/2024
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Last Update Date | 09/23/2024
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Provider Practice Location Address
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Address Line | 717 N BEERS ST STE 2B
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City | HOLMDEL
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State | NJ
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Zip | 07733-1525
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Country | US
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Telephone | 732-264-2440
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Fax |
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Provider Business Mailing Address
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Address Line | 717 N BEERS ST STE 2B
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City | HOLMDEL
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State | NJ
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Zip | 07733-1525
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Country | US
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Telephone | 732-264-2440
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Fax |
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Authorized Official
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Title or Position | OWNER/LPC
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Name | JENNIFER SUAREZ
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Credential |
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Telephone | 732-264-2440
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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 |
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License Number State |
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