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General NPI Number Information
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NPI Number | 1013401751
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Entity Type | Individual
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Provider Name | STEPHANIE JONES LPC
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Gender | Female
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Dates
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Enumeration Date | 06/16/2018
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Last Update Date | 08/26/2020
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Provider Practice Location Address
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Address Line | 3595 CANTON RD STE 312-181
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City | MARIETTA
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State | GA
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Zip | 30066-2658
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Country | US
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Telephone | 678-964-6959
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Fax | 855-953-3566
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Provider Business Mailing Address
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Address Line | 3774 WESTCHASE DR
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City | MARIETTA
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State | GA
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Zip | 30066-2580
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Country | US
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Telephone | 678-438-7395
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Fax | 678-398-9065
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LPC010041
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License Number State | GA
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