MEDICARE: FELICIA CAMP 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
1	101YP2500X	Professional Counselor	81160	TX

General Provider Information

NPI Number	:	1174097521
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FELICIA CAMP JONES

Provider Business Mailing Address
First Line	:	11625 CUSTER RD STE 110-134
Second Line	:
City	:	FRISCO
State	:	TX
Zip	:	75035-8783
Country	:	US
Telephone Number	:	469-768-7303
Fax Number	:

Provider Business Practice Location Address
First Line	:	11625 CUSTER RD STE 110-134
Second Line	:
City	:	FRISCO
State	:	TX
Zip	:	75035-8783
Country	:	US
Telephone Number	:	972-765-8740
Fax Number	:

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

Provider Enumeration Date	:	01/18/2019
Last Update Date	:	09/07/2021

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Directions to “ FELICIA CAMP JONES ” Practice Location

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