Individual
ANDA JINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LPCC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
180.006911
IL
101YP2500X
Professional Counselor
Primary
0182711
NM
Other
Enumeration date
02/11/2008
Last updated
06/09/2017
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