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General NPI Number Information
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NPI Number | 1053738955
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Entity Type | Organization
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Legal Business Name | SHYRA JONES COUNSELING SERVICES
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Dates
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Enumeration Date | 03/28/2014
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Last Update Date | 04/07/2017
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Provider Practice Location Address
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Address Line | 4708 JOHN DAVID DR APT. B
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City | KILLEEN
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State | TX
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Zip | 76549-2664
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Country | US
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Telephone | 254-681-6702
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Fax | 888-349-1644
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Provider Business Mailing Address
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Address Line | 4708 JOHN DAVID DR. APT. B
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City | KILLEEN
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State | TX
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Zip | 76549
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Country | US
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Telephone | 254-681-6702
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Fax | 888-349-1644
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Authorized Official
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Title or Position | OWNER
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Name | SHYRA NICHELLE JONES
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Credential | LPC
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Telephone | 254-681-6702
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 66025
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License Number State | TX
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