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General NPI Number Information
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NPI Number | 1922357730
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Entity Type | Individual
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Provider Name | JENNIFER ROSE MAGUIRE MS, MA, LPC, ACS
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Gender | Female
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Dates
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Enumeration Date | 09/07/2012
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Last Update Date | 12/10/2025
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Provider Practice Location Address
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Address Line | 421 BETHEL RD
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City | SOMERS POINT
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State | NJ
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Zip | 08244-2081
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Country | US
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Telephone | 609-365-2601
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Fax | 609-365-2519
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Provider Business Mailing Address
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Address Line | PO BOX 24449
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City | NEW YORK
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State | NY
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Zip | 10087-0589
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Country | US
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Telephone | 833-351-8255
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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 | 37PC00446300
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License Number State | NJ
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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 | MHC01932
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License Number State | RI
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 3160
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License Number State | WV
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