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NPI Code Detail

MEDICARE: DEE ANN JONES

MEDICARE: DEE ANN 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 : 1104264464
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEE ANN JONES
Provider Business Mailing Address
First Line : 1308 CRADDUCK RD
Second Line :
City : ADA
State : OK
Zip : 74820-8442
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1308 CRADDUCK RD
Second Line :
City : ADA
State : OK
Zip : 74820-8442
Country : US
Telephone Number : 580-332-3699
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/10/2013
Last Update Date : 06/10/2013

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Directions to “ DEE ANN JONES ” Practice Location

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