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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

Details

NameValue
NPI1679091276
Enumeration Date2017-09-02
NPI TypeNPI-1 Individual
Sole ProprietorYES
StatusActive
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
CONYERS, GA 30012-5407
United States

Phone: 770-929-1470 | Fax:
 

343 SALEM GATE DR SE
CONYERS, GA 30013-1773
United States

Phone: 770-929-1470 | Fax:770-929-1425
 

Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
No 101YM0800X - Counselor - Mental HealthGAAPC005572
Yes 101YP2500X - Counselor - ProfessionalGA011594