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NPI Code Detail

MEDICARE: CHRISTINA K JONES LPC, LPC/S, MAC

MEDICARE: CHRISTINA K JONES LPC, LPC/S, MAC
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
1101YP2500XProfessional Counselor5334SC
2101YA0400XAddiction (Substance Use Disorder) Counselor1205302SC

General Provider Information

NPI Number : 1336488402
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTINA K JONES LPC, LPC/S, MAC
Provider Business Mailing Address
First Line : PO BOX 4248
Second Line :
City : WEST COLUMBIA
State : SC
Zip : 29171-4248
Country : US
Telephone Number : 803-422-9754
Fax Number :
Provider Business Practice Location Address
First Line : 1409 DEVINE ST
Second Line :
City : COLUMBIA
State : SC
Zip : 29208-4738
Country : US
Telephone Number : 803-422-9754
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/08/2013
Last Update Date : 09/13/2022

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Directions to “ CHRISTINA K JONES LPC, LPC/S, MAC” Practice Location

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