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NPI Code Detail

MEDICARE: MICHELLE JONES

MEDICARE:   MICHELLE  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
1104100000XSocial Worker32134TX
21041C0700XClinical Social Worker32134TX

General Provider Information

NPI Number : 1629527163
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHELLE JONES
Provider Business Mailing Address
First Line : 8992 PRESTON RD # 110-222
Second Line :
City : FRISCO
State : TX
Zip : 75034-3965
Country : US
Telephone Number : 469-877-1662
Fax Number :
Provider Business Practice Location Address
First Line : 11500 STATE HIGHWAY 121 STE 510
Second Line :
City : FRISCO
State : TX
Zip : 75035-9348
Country : US
Telephone Number : 469-200-4093
Fax Number : 469-200-4079
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/26/2016
Last Update Date : 05/23/2022

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Directions to “ MICHELLE JONES ” Practice Location

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