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General NPI Number Information
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NPI Number | 1235996331
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Entity Type | Individual
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Provider Name | KIMBERLY MONIQUE JONES LGPC
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Gender | Female
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Dates
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Enumeration Date | 03/05/2024
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Last Update Date | 01/30/2026
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Provider Practice Location Address
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Address Line | 9026 LIBERTY RD STE 102
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City | RANDALLSTOWN
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State | MD
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Zip | 21133-3900
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Country | US
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Telephone | 443-352-7077
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Fax | 443-214-2999
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Provider Business Mailing Address
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Address Line | 7722 ALTLAND AVE
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City | ABBOTTSTOWN
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State | PA
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Zip | 17301-8978
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Country | US
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Telephone | 443-677-5720
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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 | LGP14892
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | LGA3361
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LGP14892
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License Number State | MD
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Taxonomy #4
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | PC-0012003
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License Number State | DE
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Taxonomy #5
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | PC019263
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License Number State | PA
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