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General NPI Number Information
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NPI Number | 1629612387
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Entity Type | Organization
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Legal Business Name | JONES FAMILY COUNSELING CENTER, PLLC
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Dates
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Enumeration Date | 11/05/2019
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Last Update Date | 11/05/2019
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Provider Practice Location Address
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Address Line | 123 CENTER PARK DR STE 106
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City | KNOXVILLE
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State | TN
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Zip | 37922-2168
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Country | US
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Telephone | 865-392-5225
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Fax |
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Provider Business Mailing Address
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Address Line | 123 CENTER PARK DR STE 106
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City | KNOXVILLE
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State | TN
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Zip | 37922-2168
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Country | US
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Telephone | 865-392-5225
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Fax |
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Authorized Official
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Title or Position | OWNER, LICENSED PROFESSIONAL COUNSE
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Name | MS. LISA MARIE JONES
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Credential | LPC-MHSP
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Telephone | 865-392-5225
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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 |
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License Number State |
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