MEDICARE: LINDA L JONES LPC,LCDC

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	101YP2500X	Professional Counselor	3942	TX

General Provider Information

NPI Number	:	1982944252
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LINDA L JONES LPC,LCDC

Provider Business Mailing Address
First Line	:	2636 WALNUT HILL LN
Second Line	:	330
City	:	DALLAS
State	:	TX
Zip	:	75229-5639
Country	:	US
Telephone Number	:	214-684-4949
Fax Number	:	817-294-7172

Provider Business Practice Location Address
First Line	:	2636 WALNUT HILL LN
Second Line	:	330
City	:	DALLAS
State	:	TX
Zip	:	75229-5639
Country	:	US
Telephone Number	:	214-684-4949
Fax Number	:	817-294-7172

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

Provider Enumeration Date	:	02/25/2013
Last Update Date	:	02/25/2013

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