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Individual
MINDY JACOBSON LEVY
Active
Individual
MINDY JACOBSON LEVY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MCAT, ATR-BC, LPC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
37PC0181900
NJ
101YP2500X
Professional Counselor
Primary
PC001934
PA
221700000X
Art Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1213901
AETNA
—
Enumeration date
10/15/2006
Last updated
12/16/2011
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