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NPI 1114148327

NPI 1114148327 : BOBBI JEAN JONES LPCC : MANCHESTER, KY

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General NPI Number Information
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    NPI Number           |    1114148327
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    Entity Type          |    Individual 
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    Provider Name        |    BOBBI JEAN JONES LPCC
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    05/02/2007
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    Last Update Date     |    01/24/2023
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Provider Practice Location Address
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    Address Line         |    85 KY-80 
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    City                 |    MANCHESTER
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    State                |    KY
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    Zip                  |    40962
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    Country              |    US
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    Telephone            |    606-526-9005
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    132 YELLOW BIRD LN 
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    City                 |    GRAY
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    State                |    KY
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    Zip                  |    40734-6656
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    Country              |    US
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    Telephone            |    606-515-3053
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    Fax                  |    
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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       |    128719
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    License Number State |    KY
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