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General NPI Number Information
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NPI Number | 1457624017
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Entity Type | Individual
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Provider Name | RAMONA REGENA JONES LPC, LAC, CCS
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Gender | Female
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Dates
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Enumeration Date | 02/13/2012
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Last Update Date | 11/18/2014
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Provider Practice Location Address
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Address Line | 5537 LAY STREET
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City | GILLIAM
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State | LA
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Zip | 71029
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Country | US
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Telephone | 318-674-0065
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Fax | 318-687-1775
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Provider Business Mailing Address
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Address Line | 1679 S REUNION DR
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City | SHREVEPORT
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State | LA
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Zip | 71118-2248
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Country | US
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Telephone | 318-674-0065
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Fax | 318-687-1775
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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 | 1093
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 3711
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License Number State | LA
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