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Individual
MRS. JENNIFER LYNN SHIRLEY
Active
Individual
MRS. JENNIFER LYNN SHIRLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC, LPC, CRC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MHC01054
RI
101YP2500X
Professional Counselor
006960
CT
225C00000X
Rehabilitation Counselor
00233417
NULL
Other
Enumeration date
05/24/2016
Last updated
04/10/2025
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