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General NPI Number Information
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NPI Number | 1902794654
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Entity Type | Individual
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Provider Name | JESSICA NICOLE STEUBER LAC
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Gender | Female
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Dates
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Enumeration Date | 06/24/2025
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Last Update Date | 06/26/2025
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Provider Practice Location Address
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Address Line | 271 US HIGHWAY 46 STE C209
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City | FAIRFIELD
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State | NJ
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Zip | 07004-2431
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Country | US
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Telephone | 732-561-8555
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Fax |
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Provider Business Mailing Address
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Address Line | 51 BOWFELL CT
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City | WAYNE
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State | NJ
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Zip | 07470-2145
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Country | US
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Telephone | 551-338-3334
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 37AC00882200
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License Number State | NJ
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