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General NPI Number Information
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NPI Number | 1396125795
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Entity Type | Individual
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Provider Name | ADRIENNE JONES CMHT, LMSW
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Gender | Female
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Dates
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Enumeration Date | 06/02/2015
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Last Update Date | 10/21/2024
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Provider Practice Location Address
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Address Line | 1415 COLLEGE DRIVE
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City | MERIDIAN
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State | MS
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Zip | 39307
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Country | US
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Telephone | 601-483-4821
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Fax | 601-485-8727
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Provider Business Mailing Address
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Address Line | P.O. BOX 2868
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City | MERIDIAN
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State | MS
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Zip | 39302
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Country | US
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Telephone | 601-483-4821
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Fax | 601-485-8727
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 077062
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License Number State | IA
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