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General NPI Number Information
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NPI Number | 1346657061
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Entity Type | Individual
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Provider Name | JARRID H JONES LCSW, CADC
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Gender | Male
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Dates
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Enumeration Date | 07/15/2014
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Last Update Date | 12/01/2018
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Provider Practice Location Address
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Address Line | 165 LANCASTER ST
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City | PORTLAND
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State | ME
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Zip | 04101-2406
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Country | US
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Telephone | 207-874-1030
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Fax | 207-874-1044
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Provider Business Mailing Address
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Address Line | 165 LANCASTER ST
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City | PORTLAND
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State | ME
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Zip | 04101-2406
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Country | US
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Telephone | 207-874-1030
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Fax | 207-874-1044
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | CAC6238
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License Number State | ME
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LC16138
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License Number State | ME
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