MEDICARE: ARLINDA LOUISE JONES-ABEKASIS LCPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101Y00000X	Counselor	180-002216	IL
2	101YA0400X	Addiction (Substance Use Disorder) Counselor	180-002216	IL
3	101YM0800X	Mental Health Counselor	180-002216	IL
4	101YP2500X	Professional Counselor	180-002216	IL

General Provider Information

NPI Number	:	1023319456
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ARLINDA LOUISE JONES-ABEKASIS LCPC

Provider Business Mailing Address
First Line	:	12 N 64TH ST
Second Line	:
City	:	BELLEVILLE
State	:	IL
Zip	:	62223-3809
Country	:	US
Telephone Number	:	618-397-0900
Fax Number	:	618-397-4368

Provider Business Practice Location Address
First Line	:	12 N 64TH ST
Second Line	:
City	:	BELLEVILLE
State	:	IL
Zip	:	62223-3809
Country	:	US
Telephone Number	:	618-397-0900
Fax Number	:	618-397-4368

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/17/2010
Last Update Date	:	11/17/2010

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