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General NPI Number Information
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NPI Number | 1811478514
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Entity Type | Individual
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Provider Name | AMANDA JONES LPC
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Gender | Female
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Dates
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Enumeration Date | 08/22/2018
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Last Update Date | 03/19/2025
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Provider Practice Location Address
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Address Line | 300 VESTAVIA PKWY STE 2600
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City | VESTAVIA
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State | AL
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Zip | 35216-7704
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Country | US
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Telephone | 205-202-9152
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Fax |
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Provider Business Mailing Address
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Address Line | 1401 DOUG BAKER BLVD STE 107-160
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City | HOOVER
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State | AL
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Zip | 35242-4974
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Country | US
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Telephone | 205-249-6128
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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 | 4608
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | C3129A
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License Number State | AL
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