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NPI Code Detail

MEDICARE: ANDREI R JONES

MEDICARE:   ANDREI R 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 : 1386303428
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDREI R JONES
Provider Business Mailing Address
First Line : 1351 MYRTLE AVE APT 3L
Second Line :
City : BROOKLYN
State : NY
Zip : 11221-3408
Country : US
Telephone Number : 347-713-2083
Fax Number :
Provider Business Practice Location Address
First Line : 1351 MYRTLE AVE APT 3L
Second Line :
City : BROOKLYN
State : NY
Zip : 11221-3408
Country : US
Telephone Number : 347-713-2083
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/16/2021
Last Update Date : 12/16/2021

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Directions to “ ANDREI R JONES ” Practice Location

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