Doctor Name: | SHERRY LEE JONES |
NPI Number: | 1023268257 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 1908 Business Center Dr #220 San Bernardino, CA - 924083436 |
Business Phone Number: | 9098905930 |
Business Fax Number: | 9098905950 |
Mailing Address: | 1908 Business Center Dr, #220 SAN BERNARDINO |
State: | CA |
Postal Code: | 924083436 |
Phone Number: | 9098905930 |
Fax Number: | 9098905950 |
NPI Enumeration Date: | 09/24/2008 |
NPI Last Update Date: | 02/25/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |