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Individual
TIMOTHY JONES
Active
Individual
TIMOTHY JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LPC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701005908
VA
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
05/22/2008
Last updated
04/23/2015
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