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General NPI Number Information
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NPI Number | 1235533712
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Entity Type | Individual
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Provider Name | SHANICA JONES MS, MHA, LPC
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Gender | Female
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Dates
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Enumeration Date | 10/13/2014
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Last Update Date | 09/24/2024
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Provider Practice Location Address
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Address Line | 1775 SAINT JAMES PL STE 325
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City | HOUSTON
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State | TX
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Zip | 77056-3472
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Country | US
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Telephone | 832-780-3497
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Fax |
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Provider Business Mailing Address
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Address Line | 5900 BALCONES DR # 19129
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City | AUSTIN
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State | TX
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Zip | 78731-4257
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Country | US
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Telephone | 832-819-4641
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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 | 87449
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License Number State | TX
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