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General NPI Number Information
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NPI Number | 1710440284
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Entity Type | Individual
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Provider Name | ALFRIEDA JONES MA, LPC
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Gender | Female
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Dates
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Enumeration Date | 04/10/2019
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Last Update Date | 11/23/2020
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Provider Practice Location Address
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Address Line | 190 LILY CACHE LN
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City | BOLINGBROOK
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State | IL
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Zip | 60440
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Country | US
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Telephone | 630-481-6644
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Fax |
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Provider Business Mailing Address
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Address Line | 3088 HILLBROOK LN APT 205
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City | AURORA
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State | IL
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Zip | 60502-7145
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Country | US
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Telephone | 630-506-8346
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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 | 178.003523
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License Number State | IL
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