Doctor Name: | ALISA S JONES |
NPI Number: | 1003280603 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA, ALC |
License Number: | C2524A |
Business Practice Address: | 645 Ponce De Leon Ave Montgomery, AL - 361062316 |
Business Phone Number: | 3347999855 |
Business Fax Number: | |
Mailing Address: | 645 Ponce De Leon Ave, MONTGOMERY |
State: | AL |
Postal Code: | 361062316 |
Phone Number: | 3347999855 |
Fax Number: | |
NPI Enumeration Date: | 11/19/2015 |
NPI Last Update Date: | 11/19/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | C2524A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |