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General NPI Number Information
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NPI Number | 1588713614
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Entity Type | Individual
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Provider Name | DANIELLE G JONES M. COUN, LPC
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Gender | Female
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Dates
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Enumeration Date | 01/09/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 4822 N ROSEPOINT WAY SUITE A
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City | BOISE
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State | ID
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Zip | 83713-0944
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Country | US
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Telephone | 208-939-6110
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Fax | 208-939-6274
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Provider Business Mailing Address
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Address Line | 3683 N ARBORCREST CT
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City | BOISE
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State | ID
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Zip | 83713-1981
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Country | US
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Telephone | 208-887-9376
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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 | LPC-3606
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License Number State | ID
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