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General NPI Number Information
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NPI Number | 1609689827
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Entity Type | Individual
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Provider Name | SALINA MARIE JONES LAC
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Gender | Female
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Dates
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Enumeration Date | 01/30/2025
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Last Update Date | 01/30/2025
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Provider Practice Location Address
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Address Line | 9520 W PALM LN STE 240
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City | PHOENIX
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State | AZ
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Zip | 85037-4448
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Country | US
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Telephone | 623-289-1654
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Fax |
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Provider Business Mailing Address
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Address Line | 2069 E GILLCREST RD
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City | GILBERT
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State | AZ
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Zip | 85298-9731
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Country | US
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Telephone | 602-741-1935
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LAC-19763
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License Number State | AZ
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