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NPI Code Detail

MEDICARE: SHIRLEY JONES MSW, CMHT

MEDICARE: SHIRLEY JONES MSW, CMHT
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

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1548697121
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHIRLEY JONES MSW, CMHT
Provider Business Mailing Address
First Line : 4780 I 55 N STE 105
Second Line :
City : JACKSON
State : MS
Zip : 39211-5542
Country : US
Telephone Number : 601-956-4816
Fax Number : 601-956-4817
Provider Business Practice Location Address
First Line : 4780 I 55 N STE 105
Second Line :
City : JACKSON
State : MS
Zip : 39211-5542
Country : US
Telephone Number : 601-956-4816
Fax Number : 601-956-4817
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/27/2013
Last Update Date : 11/18/2021

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Directions to “ SHIRLEY JONES MSW, CMHT” Practice Location

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