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General NPI Number Information
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NPI Number | 1619226396
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Entity Type | Organization
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Legal Business Name | SHYRA JONES COUNSELING SERVICES
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Dates
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Enumeration Date | 09/10/2012
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Last Update Date | 02/10/2013
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Provider Practice Location Address
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Address Line | 507 N 8TH ST
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City | KILLEEN
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State | TX
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Zip | 76541-4867
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Country | US
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Telephone | 254-216-3930
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 814
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City | COPPERAS COVE
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State | TX
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Zip | 76522-0814
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Country | US
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Telephone | 254-216-3930
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Fax |
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Authorized Official
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Title or Position | LICENCED PROFESSIONAL COUNSELOR
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Name | MISS SHYRA NICHELLE JONES
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Credential | LPC
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Telephone | 254-216-3930
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 66025
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License Number State | TX
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