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General NPI Number Information
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NPI Number | 1922190164
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Entity Type | Individual
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Provider Name | JILL J FARKAS C.R.C.CASAC LMHC
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Gender | Female
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Dates
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Enumeration Date | 09/28/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 11711 MYRTLE AVE
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City | RICHMOND HILL
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State | NY
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Zip | 11418-1751
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Country | US
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Telephone | 718-849-6300
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Fax |
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Provider Business Mailing Address
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Address Line | 21 HARVARD ST
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City | WESTBURY
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State | NY
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Zip | 11590-2901
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Country | US
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Telephone | 718-849-6300
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Fax | 718-849-9654
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 7674
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 2399
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License Number State | NY
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