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Provider Information for 1598451916


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Dr. SKYTINA ROSHELLE FELDER-JONES LMHC


Sex: Female

NPI: 1598451916
Last Updated: 2023-04-18
Certification Date: 2023-04-17

Details

NameValue
NPI1598451916
Enumeration Date2023-04-18
NPI TypeNPI-1 Individual
Sole ProprietorYES
StatusActive
Mailing Address 124 YEARLING CT
LUDOWICI, GA 31316-7862
United States

Phone: 478-508-8677 | Fax:
 
Primary Practice Address 124 YEARLING CT
LUDOWICI, GA 31316-7862
United States

Phone: 478-508-8677 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 101YM0800X - Counselor - Mental HealthGA61048804