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General NPI Number Information
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NPI Number | 1881920072
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Entity Type | Individual
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Provider Name | WADE GIRARD JONES LPCMH, LCDP, CADC
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Gender | Male
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Dates
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Enumeration Date | 10/23/2009
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Last Update Date | 01/31/2014
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Provider Practice Location Address
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Address Line | 1003 HOUSTON ACRES
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City | MILLSBORO
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State | DE
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Zip | 19966-3568
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Country | US
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Telephone | 302-542-3586
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Fax | 866-648-7571
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Provider Business Mailing Address
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Address Line | PO BOX 2015 1003 HOUSTON ACRES
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City | MILLSBORO
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State | DE
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Zip | 19966-8015
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Country | US
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Telephone | 302-542-3586
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Fax | 866-648-7571
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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 | PC-0000625
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License Number State | DE
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | CD-0000050
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License Number State | DE
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