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Individual
JESSICA B. DIEPPA
Active
Individual
JESSICA B. DIEPPA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC, MCAP, NCC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
MH15433
FL
101YA0400X
Addiction (Substance Use Disorder) Counselor
MCAP100498
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022974600
—
FL
Enumeration date
08/21/2014
Last updated
02/06/2020
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