Doctor Name: | MR. ROBERT WILLIAM JONES |
NPI Number: | 1033228218 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LCSW |
License Number: | LCS 216447 |
Business Practice Address: | 1612 First St Coachella, CA - 92236 |
Business Phone Number: | 7605685101 |
Business Fax Number: | 7605686568 |
Mailing Address: | 1612 First, Latino Commission COACHELLA |
State: | CA |
Postal Code: | 92236 |
Phone Number: | 7603989000 |
Fax Number: | 7603989790 |
NPI Enumeration Date: | 08/30/2006 |
NPI Last Update Date: | 07/09/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | LCS 216447 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |