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General NPI Number Information
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NPI Number | 1962034116
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Entity Type | Individual
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Provider Name | JUANITA JACQUELINE WHITTINGTON LCPC
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Gender | Female
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Dates
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Enumeration Date | 02/05/2020
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Last Update Date | 10/10/2025
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Provider Practice Location Address
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Address Line | 600 CONGRESS AVE FL 14
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City | AUSTIN
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State | TX
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Zip | 78701-3263
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Country | US
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Telephone | 818-253-1865
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Fax |
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Provider Business Mailing Address
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Address Line | 5102 DANEBRIDGE DR
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City | HOUSTON
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State | TX
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Zip | 77084-2383
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Country | US
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Telephone | 773-882-6916
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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 | 180.009715
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License Number State | IL
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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 | 81411
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 9225
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License Number State | CA
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