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NPI Code Detail

MEDICARE: TASHANA JONES

MEDICARE: TASHANA 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
1106H00000XMarriage & Family Therapist

General Provider Information

NPI Number : 1306123245
Entity Type Code : Individual
Provider Name (Legal Business Name) : TASHANA JONES
Provider Business Mailing Address
First Line : 811 S DECATUR BLVD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89107-3933
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3235 S EASTERN AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89169-3310
Country : US
Telephone Number : 702-490-9009
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/07/2011
Last Update Date : 07/21/2020

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Directions to “ TASHANA JONES ” Practice Location

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