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NPI Code Detail

MEDICARE: MS. KAHILAH TISHANA JONES LMFT

MEDICARE:  MS. KAHILAH TISHANA JONES  LMFT
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 TherapistMT 2775FL

General Provider Information

NPI Number : 1730591454
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. KAHILAH TISHANA JONES LMFT
Provider Business Mailing Address
First Line : 2331 N STATE ROAD 7 STE 220
Second Line :
City : LAUDERDALE LAKES
State : FL
Zip : 33313-3772
Country : US
Telephone Number : 786-556-7764
Fax Number : 954-730-3266
Provider Business Practice Location Address
First Line : 2331 N STATE ROAD 7 STE 220
Second Line :
City : LAUDERDALE LAKES
State : FL
Zip : 33313-3772
Country : US
Telephone Number : 786-556-7764
Fax Number : 954-730-3266
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/29/2014
Last Update Date : 05/29/2014

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Directions to “ MS. KAHILAH TISHANA JONES LMFT” Practice Location

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