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NPI Code Detail

MEDICARE: MS. DAWN JONES

MEDICARE:  MS. DAWN  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
1106H00000XMarriage & Family Therapist

General Provider Information

NPI Number : 1649394537
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. DAWN JONES
Provider Business Mailing Address
First Line : PO BOX 3337
Second Line :
City : REDONDO BEACH
State : CA
Zip : 90277-1337
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 21707 HAWTHORNE BLVD
Second Line :
City : TORRANCE
State : CA
Zip : 90503-7009
Country : US
Telephone Number : 310-200-6467
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/18/2007
Last Update Date : 07/08/2007

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Directions to “ MS. DAWN JONES ” Practice Location

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