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NPI Code Detail

MEDICARE: JESSICA ANN LANIER LMHC

MEDICARE: JESSICA ANN LANIER LMHC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health CounselorMH8684FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1912051764
Entity Type Code : Individual
Provider Name (Legal Business Name) : JESSICA ANN LANIER LMHC
Provider Business Mailing Address
First Line : 224 OLEANDER ST
Second Line :
City : NEPTUNE BEACH
State : FL
Zip : 32266-4850
Country : US
Telephone Number : 904-982-1255
Fax Number :
Provider Business Practice Location Address
First Line : 4844 DEER LAKE DR W STE 101
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32246-4406
Country : US
Telephone Number : 904-376-3800
Fax Number : 904-390-7431
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/22/2007
Last Update Date : 01/13/2022

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Directions to “ JESSICA ANN LANIER LMHC” Practice Location

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