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Individual

DR. MARY BETH JONES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PH.D., LPC

Contact information

Practice address
3018 OLD MINDEN RD STE 1206, BOSSIER CITY, LA 71112-2543
(318) 517-1644
Mailing address
3018 OLD MINDEN RD STE 1206, BOSSIER CITY, LA 71112-2543
(318) 517-1644

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1620
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
721240010
S CORPORATION
LA
Enumeration date
05/01/2007
Last updated
05/12/2014
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