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General NPI Number Information
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NPI Number | 1790075588
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Entity Type | Organization
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Legal Business Name | JONES COUNSELING AND THERAPEUTIC SERVICES
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Dates
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Enumeration Date | 04/13/2011
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Last Update Date | 04/13/2011
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Provider Practice Location Address
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Address Line | 138-39TH STREET
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City | TUSCALOOSA
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State | AL
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Zip | 35405
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Country | US
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Telephone | 205-354-7602
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Fax |
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Provider Business Mailing Address
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Address Line | 138-39TH STREET
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City | TUSCALOOSA
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State | AL
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Zip | 35405
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Country | US
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Telephone | 205-354-7602
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Fax | 205-758-5202
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Authorized Official
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Title or Position | DIRECTOR
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Name | MR. CHARLIE L. JONES
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Credential | SOCIAL WORKER LCSW-P
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Telephone | 205-394-7602
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 1689C
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 1689C
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License Number State | AL
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