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General NPI Number Information
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NPI Number | 1699145532
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Entity Type | Organization
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Legal Business Name | COUNSELING ASSOCIATES, ALLA JONES
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Dates
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Enumeration Date | 10/05/2015
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Last Update Date | 10/05/2015
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Provider Practice Location Address
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Address Line | 726 S. WASHINGTON AVE.
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City | MADISON
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State | SD
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Zip | 57042
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Country | US
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Telephone | 605-270-3430
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Fax | 605-427-0112
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Provider Business Mailing Address
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Address Line | 726 S. WASHINGTON AVE.
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City | MADISON
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State | SD
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Zip | 57042
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Country | US
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Telephone | 605-270-3430
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Fax | 605-427-0112
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Authorized Official
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Title or Position | MENTAL HEALTH THERAPIST
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Name | MRS. ALLA ANATOLY JONES
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Credential | LPC-MH
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Telephone | 605-270-3430
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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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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