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General NPI Number Information
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NPI Number | 1205694510
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Entity Type | Individual
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Provider Name | DAINESE F. JONES CRC, LCPC
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Gender | Female
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Dates
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Enumeration Date | 03/11/2024
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 600 MONARCH DR
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City | O FALLON
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State | IL
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Zip | 62269-7467
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Country | US
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Telephone | 864-640-2765
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 284
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City | O FALLON
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State | IL
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Zip | 62269-0284
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Country | US
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Telephone |
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 180.015562
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License Number State | IL
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