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General NPI Number Information
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NPI Number | 1952455545
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Entity Type | Individual
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Provider Name | KELLY MARIE LAJOIE MBS, LPC
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Gender | Female
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Dates
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Enumeration Date | 01/22/2007
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Last Update Date | 06/10/2025
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Provider Practice Location Address
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Address Line | 3006 EUNICE AVE
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City | SPRING HILL
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State | FL
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Zip | 34609-3421
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Country | US
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Telephone | 580-317-6081
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Fax | 580-298-6699
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Provider Business Mailing Address
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Address Line | 320 W 37TH ST FL 5
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City | NEW YORK
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State | NY
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Zip | 10018-4252
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Country | US
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Telephone | 580-317-6081
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 3790
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License Number State | OK
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