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NPI 1174052708

NPI 1174052708 : LENDY LEE JONES LPC : KILLEEN, TX

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General NPI Number Information
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    NPI Number           |    1174052708
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    Entity Type          |    Individual 
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    Provider Name        |    LENDY LEE JONES LPC
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/07/2017
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    Last Update Date     |    06/07/2017
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Provider Practice Location Address
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    Address Line         |    1519 FLORENCE RD STE 23 
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    City                 |    KILLEEN
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    State                |    TX
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    Zip                  |    76541-7965
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    Country              |    US
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    Telephone            |    254-432-7197
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    375 TRAILS END DR 
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    City                 |    KILLEEN
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    State                |    TX
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    Zip                  |    76543-8054
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    Country              |    US
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    Telephone            |    254-371-1356
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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        |    101YP2500X
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    Taxonomy Name        |    Professional Counselor
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    License Number       |    66877
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    License Number State |    TX
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