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NPI Code Detail

MEDICARE: ONASSIS JONES M.DIV., LPC

MEDICARE:   ONASSIS  JONES  M.DIV., LPC
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 Counselor6309LA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
16309OTHERLALICENSED PROFESSIONAL COUNSELOR
2PLPC 6309OTHERLAPROVISIONAL LICENSED PROFESSIONAL COUNSELOR

General Provider Information

NPI Number : 1437516630
Entity Type Code : Individual
Provider Name (Legal Business Name) : ONASSIS JONES M.DIV., LPC
Provider Business Mailing Address
First Line : 3957 PEACHTREE CT
Second Line :
City : NEW ORLEANS
State : LA
Zip : 70131-8315
Country : US
Telephone Number : 225-573-1415
Fax Number :
Provider Business Practice Location Address
First Line : 1300 ALVAR ST
Second Line :
City : NEW ORLEANS
State : LA
Zip : 70117-5200
Country : US
Telephone Number : 225-573-1415
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/20/2016
Last Update Date : 02/21/2020

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