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NPI Code Detail

MEDICARE: TOMMY MARK JONES LPC

MEDICARE:   TOMMY MARK 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 CounselorPC010615PA
2101YP2500XProfessional Counselor

General Provider Information

NPI Number : 1760960512
Entity Type Code : Individual
Provider Name (Legal Business Name) : TOMMY MARK JONES LPC
Provider Business Mailing Address
First Line : 101 BOVARD RD
Second Line :
City : GREENSBURG
State : PA
Zip : 15601-9370
Country : US
Telephone Number : 724-612-8469
Fax Number : 724-836-8320
Provider Business Practice Location Address
First Line : 22 WESTVIEW DR
Second Line :
City : GREENSBURG
State : PA
Zip : 15601-1241
Country : US
Telephone Number : 724-612-8469
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/03/2018
Last Update Date : 09/19/2023

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Directions to “ TOMMY MARK JONES LPC” Practice Location

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