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General NPI Number Information
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NPI Number | 1902342884
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Entity Type | Individual
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Provider Name | INGRID MARIE JONES LMSW
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Gender | Female
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Dates
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Enumeration Date | 01/16/2017
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Last Update Date | 02/20/2025
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Provider Practice Location Address
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Address Line | 1639 RYAN ST
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City | LAKE CHARLES
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State | LA
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Zip | 70601-5948
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Country | US
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Telephone | 337-602-6391
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Fax |
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Provider Business Mailing Address
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Address Line | 1265 MARSHALL DR
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City | MARRERO
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State | LA
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Zip | 70072-2630
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Country | US
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Telephone | 504-645-0452
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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 | 13980
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number | 13980
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License Number State | LA
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Taxonomy #3
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 13980
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License Number State | LA
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