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General NPI Number Information
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NPI Number | 1669075214
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Entity Type | Individual
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Provider Name | LAQUANTA L JONES
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Gender | Female
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Dates
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Enumeration Date | 11/17/2020
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Last Update Date | 12/22/2020
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Provider Practice Location Address
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Address Line | 703 VERSAILLES BLVD STE A
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City | ALEXANDRIA
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State | LA
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Zip | 71303-2327
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Country | US
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Telephone | 318-792-2820
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Fax |
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Provider Business Mailing Address
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Address Line | 5245 ARGONNE BLVD
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City | ALEXANDRIA
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State | LA
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Zip | 71303-2402
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Country | US
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Telephone | 318-792-2820
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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 | 101YS0200X
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Taxonomy Name | School Counselor
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License Number | 536307
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License Number State | LA
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Taxonomy #2
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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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Taxonomy #3
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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