Provider Information for 1093034324
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MEAGAN ANNE JONES M.A., LPC
Sex: Female
NPI: 1093034324
Last Updated: 2011-11-04
Certification Date:
Certification Date:
Details
Name | Value | ||||||||||||
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NPI | 1093034324 | ||||||||||||
Enumeration Date | 2010-05-26 | ||||||||||||
NPI Type | NPI-1 Individual | ||||||||||||
Sole Proprietor | NO | ||||||||||||
Status | Active | ||||||||||||
Mailing Address | 366 W OAK AVE APT I WAKE FOREST, NC 27587-2158 United States Phone: 803-467-5281 | Fax: | ||||||||||||
Primary Practice Address | 1788 HERITAGE CENTER DR STE 104 WAKE FOREST, NC 27587-3949 United States Phone: 919-556-6501 | Fax:919-556-4933 | ||||||||||||
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