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NPI Code Detail

MEDICARE: ROCHELLE CASS JONES

MEDICARE:   ROCHELLE CASS JONES
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 : 1578149886
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROCHELLE CASS JONES
Provider Business Mailing Address
First Line : 606 SANDY RUN DR
Second Line :
City : HINESVILLE
State : GA
Zip : 31313-3404
Country : US
Telephone Number : 925-577-8421
Fax Number :
Provider Business Practice Location Address
First Line : 606 SANDY RUN DR
Second Line :
City : HINESVILLE
State : GA
Zip : 31313-3404
Country : US
Telephone Number : 925-577-8421
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/18/2021
Last Update Date : 03/18/2021

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Directions to “ ROCHELLE CASS JONES ” Practice Location

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