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NPI 1932272325

NPI 1932272325 : JENNIFER WORTHEN LPC : HENDERSONVILLE, NC

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General NPI Number Information
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    NPI Number           |    1932272325
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    Entity Type          |    Individual 
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    Provider Name        |    JENNIFER WORTHEN LPC
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    11/16/2006
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    Last Update Date     |    04/27/2015
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Provider Practice Location Address
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    Address Line         |    110 WILLIAMS ST 
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    City                 |    HENDERSONVILLE
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    State                |    NC
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    Zip                  |    28792-4543
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    Country              |    US
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    Telephone            |    828-692-7300
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    Fax                  |    828-692-7710
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Provider Business Mailing Address
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    Address Line         |    PO BOX 2649 
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    City                 |    HENDERSONVILLE
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    State                |    NC
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    Zip                  |    28793-2649
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    Country              |    US
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    Telephone            |    828-692-7300
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    Fax                  |    828-692-7710
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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        |    101YM0800X
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    Taxonomy Name        |    Mental Health Counselor
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    License Number       |    5253
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    License Number State |    NC
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