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General NPI Number Information
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NPI Number | 1497240204
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Entity Type | Individual
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Provider Name | SHELBY MAE JONES LPCC-S
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Gender | Female
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Dates
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Enumeration Date | 06/25/2018
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Last Update Date | 08/27/2025
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Provider Practice Location Address
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Address Line | 14900 DETROIT AVE STE 311
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City | LAKEWOOD
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State | OH
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Zip | 44107-3922
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Country | US
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Telephone | 330-612-8985
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Fax |
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Provider Business Mailing Address
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Address Line | 14900 DETROIT AVE STE 311
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City | LAKEWOOD
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State | OH
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Zip | 44107-3922
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Country | US
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Telephone |
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | C.1801118-TRNE
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | E.2102634-SUPV
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License Number State | OH
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