Doctor Name: | MR. MARIANNE JONES |
NPI Number: | 1013378579 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | 1041CO700X |
Business Practice Address: | 1305 Wyoming St Missoula, MT - 598011725 |
Business Phone Number: | 4065329770 |
Business Fax Number: | 4065413034 |
Mailing Address: | 3255 Lt Moss Rd, MISSOULA |
State: | MT |
Postal Code: | 598047220 |
Phone Number: | 4065328426 |
Fax Number: | 4065439316 |
NPI Enumeration Date: | 03/11/2016 |
NPI Last Update Date: | 03/11/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 1041CO700X |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |