Doctor Name: | MEAGAN ANNE JONES |
NPI Number: | 1093034324 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A., LPC |
License Number: | 8818 |
Business Practice Address: | 1788 Heritage Center Dr Ste 104 Wake Forest, NC - 275873949 |
Business Phone Number: | 9195566501 |
Business Fax Number: | 9195564933 |
Mailing Address: | 366 W Oak Ave Apt I, WAKE FOREST |
State: | NC |
Postal Code: | 275872158 |
Phone Number: | 8034675281 |
Fax Number: | |
NPI Enumeration Date: | 05/26/2010 |
NPI Last Update Date: | 11/04/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 8818 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |