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General NPI Number Information
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NPI Number | 1891184008
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Entity Type | Individual
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Provider Name | TANYA N JONES LCSW, PHD
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Gender | Female
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Dates
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Enumeration Date | 01/12/2015
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Last Update Date | 12/13/2024
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Provider Practice Location Address
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Address Line | 500 WESTOVER DR #13619
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City | SANFORD
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State | NC
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Zip | 27330-5001
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Country | US
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Telephone | 323-205-7088
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Fax | 833-419-0181
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Provider Business Mailing Address
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Address Line | 91-1121 KEAUNUI DR STE 108
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City | EWA BEACH
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State | HI
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Zip | 96706-6365
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Country | US
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Telephone | 808-551-2228
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Fax | 808-433-1551
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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 | 101YP1600X
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Taxonomy Name | Pastoral Counselor
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License Number |
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License Number State |
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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 | 3087-24NR
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License Number State | HI
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 4801
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License Number State | HI
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