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NPI Code Detail

MEDICARE: SHELONDA JONES

MEDICARE:   SHELONDA  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 CounselorNV

General Provider Information

NPI Number : 1639512221
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHELONDA JONES
Provider Business Mailing Address
First Line : 2616 RISING LEGEND WAY
Second Line :
City : LAS VEGAS
State : NV
Zip : 89106-1644
Country : US
Telephone Number : 702-807-9596
Fax Number :
Provider Business Practice Location Address
First Line : 2616 RISING LEGEND WAY
Second Line :
City : LAS VEGAS
State : NV
Zip : 89106-1644
Country : US
Telephone Number : 702-807-9596
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/12/2013
Last Update Date : 04/12/2013

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Directions to “ SHELONDA JONES ” Practice Location

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