MEDICARE: MRS. LINDA ABOSEDE 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
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1710226402
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. LINDA ABOSEDE JONES MS

Provider Business Mailing Address
First Line	:	7408 MILLER AVE
Second Line	:
City	:	UPPER DARBY
State	:	PA
Zip	:	19082-2005
Country	:	US
Telephone Number	:	484-919-8742
Fax Number	:

Provider Business Practice Location Address
First Line	:	7042 ELMWOOD AVE
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19142-1722
Country	:	US
Telephone Number	:	215-937-0700
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/31/2013
Last Update Date	:	01/31/2013

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