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General NPI Number Information
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NPI Number | 1255857744
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Entity Type | Individual
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Provider Name | AMANDA BROOK JONES MA, LPCI
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Gender | Female
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Dates
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Enumeration Date | 08/17/2017
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Last Update Date | 08/17/2017
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Provider Practice Location Address
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Address Line | 606 AVENUE J
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City | MARBLE FALLS
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State | TX
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Zip | 78654-5146
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Country | US
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Telephone | 830-693-0530
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Fax | 830-637-7438
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Provider Business Mailing Address
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Address Line | 21824 AGARITO LN
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City | SPICEWOOD
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State | TX
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Zip | 78669-6902
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Country | US
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Telephone | 512-992-1474
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Fax | 830-637-7438
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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 | 78035
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License Number State | TX
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