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NPI Code Detail

MEDICARE: MRS. MARA HORTON JONES LPC

MEDICARE: MRS. MARA HORTON JONES LPC
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
1101Y00000XCounselor5000SC

General Provider Information

NPI Number : 1790073922
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MARA HORTON JONES LPC
Provider Business Mailing Address
First Line : 514 LACHICOTTE RD
Second Line :
City : LUGOFF
State : SC
Zip : 29078-8903
Country : US
Telephone Number : 803-669-0600
Fax Number :
Provider Business Practice Location Address
First Line : 208 KING ST
Second Line :
City : CAMDEN
State : SC
Zip : 29020-4720
Country : US
Telephone Number : 803-432-6902
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/21/2011
Last Update Date : 01/08/2026

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