Provider Information for 1679091276
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Mrs. VALORIE ANTOINETTE JONES LPC, CRC
Sex: Female
NPI: 1679091276
Last Updated: 2021-04-16
Certification Date: 2021-04-16
Certification Date: 2021-04-16
Details
Name | Value | ||||||||||||
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NPI | 1679091276 | ||||||||||||
Enumeration Date | 2017-09-02 | ||||||||||||
NPI Type | NPI-1 Individual | ||||||||||||
Sole Proprietor | YES | ||||||||||||
Status | Active | ||||||||||||
Mailing Address | 1775 PARKER RD SE STE C210 CONYERS, GA 30094-6676 United States Phone: 678-487-3737 | Fax:770-679-4868 | ||||||||||||
Primary Practice Address | 1775 PARKER RD SE STE C210 CONYERS, GA 30094-6676 United States Phone: 678-487-3737 | Fax:770-679-4868 | ||||||||||||
Secondary Practice Address(es) | 1175 GREEN ST SE 343 SALEM GATE DR SE | ||||||||||||
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