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NPI Code Detail

MEDICARE: ABIGAIL BROWN JONES

MEDICARE: ABIGAIL BROWN 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
1106H00000XMarriage & Family Therapist01065NV

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 : 1679881700
Entity Type Code : Organization
Provider Name (Legal Business Name) : ABIGAIL BROWN JONES
Provider Business Mailing Address
First Line : 4425 S JONES BLVD
Second Line : STE. D-3
City : LAS VEGAS
State : NV
Zip : 89103-3370
Country : US
Telephone Number : 702-290-7653
Fax Number : 702-566-4575
Provider Business Practice Location Address
First Line : 4425 S JONES BLVD
Second Line : STE. D-3
City : LAS VEGAS
State : NV
Zip : 89103-3370
Country : US
Telephone Number : 702-290-7653
Fax Number : 702-566-4575
Authorized Official
Title or Position : MARRIAGE & FAMILY THERAPIST
Name : MS. ABIGAIL BROWN JONES
Credential : MFT
Telephone Number : 702-290-7653
Provider Enumeration Date : 09/23/2010
Last Update Date : 09/27/2010

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Directions to “ABIGAIL BROWN JONES ” Practice Location

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