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NPI Code Detail

MEDICARE: REBECCA JONES

MEDICARE: REBECCA JONES
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
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1093954588
Entity Type Code : Individual
Provider Name (Legal Business Name) : REBECCA JONES
Provider Business Mailing Address
First Line : 1510 W OTTAWA RD
Second Line :
City : PAXTON
State : IL
Zip : 60957-4090
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1510 W OTTAWA RD
Second Line :
City : PAXTON
State : IL
Zip : 60957-4090
Country : US
Telephone Number : 217-379-4302
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/06/2009
Last Update Date : 02/06/2009

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Directions to “ REBECCA JONES ” Practice Location

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