| Doctor Name: | JORY W IRONS |
| NPI Number: | 1043448061 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.A. |
| License Number: | IMF 59887 |
| Business Practice Address: | 12755 N Highway 88 Lodi, CA - 952409323 |
| Business Phone Number: | 2093405800 |
| Business Fax Number: | 2093405822 |
| Mailing Address: | Po Box 293731, SACRAMENTO |
| State: | CA |
| Postal Code: | 958293731 |
| Phone Number: | 9166676754 |
| Fax Number: | |
| NPI Enumeration Date: | 06/29/2009 |
| NPI Last Update Date: | 05/15/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | IMF 59887 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |