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NPI Code Detail

MEDICARE: LAKEIA A JONES MS

MEDICARE: LAKEIA A JONES MS
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 Counselor

General Provider Information

NPI Number : 1346443207
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAKEIA A JONES MS
Provider Business Mailing Address
First Line : 3365 N SHERMAN BLVD
Second Line :
City : MILWAUKEE
State : WI
Zip : 53216-3529
Country : US
Telephone Number : 414-759-6377
Fax Number :
Provider Business Practice Location Address
First Line : 4001 W . CAPITOL DRIVE
Second Line :
City : MILWAUKEE
State : WI
Zip : 53216-2530
Country : US
Telephone Number : 414-455-3879
Fax Number : 866-719-3024
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/07/2007
Last Update Date : 03/31/2021

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