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Individual

LAUREN JEWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
6075 BATHEY LN, NAPLES, FL 34116-7536
(239) 455-8500
Mailing address
6075 BATHEY LN, NAPLES, FL 34116-7536
(239) 455-8500

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
101YA0400X
Addiction (Substance Use Disorder) Counselor
23589
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02521240
NY
Enumeration date
10/28/2015
Last updated
03/21/2024
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