Doctor Name: | MR. JOHN OWEN JONES |
NPI Number: | 1013267772 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.A. |
License Number: | 201471J |
Business Practice Address: | 675 Beacon Hill Dr Hoquiam, WA - 985502762 |
Business Phone Number: | 3606378443 |
Business Fax Number: | 3606378443 |
Mailing Address: | 675 Beacon Hill Dr, HOQUIAM |
State: | WA |
Postal Code: | 985502762 |
Phone Number: | 3606378443 |
Fax Number: | 3606378443 |
NPI Enumeration Date: | 09/10/2012 |
NPI Last Update Date: | 09/10/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TS0200X |
License Number: | 201471J |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | School |
Taxonomy Definition: |