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General NPI Number Information
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NPI Number | 1548924939
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Entity Type | Individual
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Provider Name | DALENE JOY JONES MAMFC, PLPC, MFTA
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Gender | Female
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Dates
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Enumeration Date | 10/22/2021
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Last Update Date | 11/08/2024
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Provider Practice Location Address
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Address Line | 1504 LAKEWAY DR
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City | RUSSELL SPRINGS
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State | KY
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Zip | 42642-4285
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Country | US
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Telephone | 270-858-5377
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Fax |
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Provider Business Mailing Address
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Address Line | 61 AUTUMN DR
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City | RUSSELL SPRINGS
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State | KY
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Zip | 42642-7423
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Country | US
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Telephone | 225-329-9724
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 291566
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | PLC8319
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License Number State | LA
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