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NPI Code Detail

MEDICARE: JYLYAN JONES LPC

MEDICARE:   JYLYAN  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
1101YP2500XProfessional CounselorLPC012834GA

General Provider Information

NPI Number : 1699481564
Entity Type Code : Individual
Provider Name (Legal Business Name) : JYLYAN JONES LPC
Provider Business Mailing Address
First Line : 3994 LAKE MANOR WAY
Second Line :
City : ATLANTA
State : GA
Zip : 30349-8226
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3994 LAKE MANOR WAY
Second Line :
City : ATLANTA
State : GA
Zip : 30349-8226
Country : US
Telephone Number : 470-457-9907
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/25/2023
Last Update Date : 01/25/2023

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Directions to “ JYLYAN JONES LPC” Practice Location

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