MEDICARE: ROCHELLE CASS 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
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1578149886
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROCHELLE CASS JONES

Provider Business Mailing Address
First Line	:	606 SANDY RUN DR
Second Line	:
City	:	HINESVILLE
State	:	GA
Zip	:	31313-3404
Country	:	US
Telephone Number	:	925-577-8421
Fax Number	:

Provider Business Practice Location Address
First Line	:	606 SANDY RUN DR
Second Line	:
City	:	HINESVILLE
State	:	GA
Zip	:	31313-3404
Country	:	US
Telephone Number	:	925-577-8421
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/18/2021
Last Update Date	:	03/18/2021

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Directions to “ ROCHELLE CASS JONES ” Practice Location

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