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General NPI Number Information
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NPI Number | 1851714760
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Entity Type | Individual
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Provider Name | LISA LYNN JONES M.A.
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Gender | Female
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Dates
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Enumeration Date | 01/28/2014
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Last Update Date | 01/28/2014
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Provider Practice Location Address
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Address Line | 5314 DASHWOOD DR
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City | HOUSTON
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State | TX
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Zip | 77081-4603
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Country | US
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Telephone | 713-600-9527
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Fax |
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Provider Business Mailing Address
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Address Line | 5454 NEWCASTLE ST APT. 1712
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City | HOUSTON
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State | TX
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Zip | 77081-2245
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Country | US
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Telephone | 847-400-6003
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 190
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License Number State | HI
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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 | 6950
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 180.008312
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License Number State | IL
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Taxonomy #4
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 178.003522
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License Number State | IL
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