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General NPI Number Information
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NPI Number | 1427625086
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Entity Type | Individual
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Provider Name | TAHSHA L JONES LLMSW
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Gender | Female
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Dates
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Enumeration Date | 06/10/2021
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Last Update Date | 08/17/2021
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Provider Practice Location Address
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Address Line | 15141 PLYMOUTH RD
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City | DETROIT
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State | MI
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Zip | 48227-2412
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Country | US
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Telephone | 248-245-4724
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Fax |
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Provider Business Mailing Address
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Address Line | 17200 PLAINVIEW AVE
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City | DETROIT
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State | MI
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Zip | 48219-3554
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Country | US
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Telephone | 248-245-4724
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 6801110327
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License Number State | MI
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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 | 6801110327
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License Number State | MI
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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 | 6801110327
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License Number State | MI
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Taxonomy #4
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 6801110327
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License Number State | MI
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Taxonomy #5
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 6801110327
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License Number State | MI
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