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NPI Code Detail

MEDICARE: CHELSIE MARIE JONES

MEDICARE:   CHELSIE MARIE 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 Counselor

General Provider Information

NPI Number : 1912752619
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHELSIE MARIE JONES
Provider Business Mailing Address
First Line : 49 GREEN ST
Second Line :
City : CARBONDALE
State : PA
Zip : 18407-1562
Country : US
Telephone Number : 570-267-7768
Fax Number :
Provider Business Practice Location Address
First Line : 49 GREEN ST
Second Line :
City : CARBONDALE
State : PA
Zip : 18407-1562
Country : US
Telephone Number : 570-267-7768
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/17/2024
Last Update Date : 04/17/2024

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Directions to “ CHELSIE MARIE JONES ” Practice Location

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