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General NPI Number Information
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NPI Number | 1134530249
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Entity Type | Individual
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Provider Name | ANNA JONES LPC, CPCS, LCPC, CAC
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Gender | Female
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Dates
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Enumeration Date | 05/12/2014
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Last Update Date | 05/12/2014
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Provider Practice Location Address
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Address Line | 617 N CENTRAL AVE
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City | ATLANTA
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State | GA
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Zip | 30354-1917
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Country | US
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Telephone | 404-907-0946
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Fax |
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Provider Business Mailing Address
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Address Line | 3440 RAINEY AVE
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City | ATLANTA
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State | GA
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Zip | 30354-1310
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Country | US
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Telephone | 404-354-6370
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 0381
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 3100
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 1164
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License Number State | MD
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