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NPI Code Detail

MEDICARE: JALISA ARIELLE JONES LPC

MEDICARE: JALISA ARIELLE JONES 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 Counselor0701011836VA

General Provider Information

NPI Number : 1538883616
Entity Type Code : Individual
Provider Name (Legal Business Name) : JALISA ARIELLE JONES LPC
Provider Business Mailing Address
First Line : 12300 WASHINGTON HWY # A
Second Line :
City : ASHLAND
State : VA
Zip : 23005-7646
Country : US
Telephone Number : 804-658-7696
Fax Number :
Provider Business Practice Location Address
First Line : 12300 WASHINGTON HWY # A
Second Line :
City : ASHLAND
State : VA
Zip : 23005-7646
Country : US
Telephone Number : 804-658-7696
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/03/2022
Last Update Date : 12/16/2025

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