| Doctor Name: | MR. JOHN R JONES |
| NPI Number: | 1093884793 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.B.A.,M.A., LMHC |
| License Number: | MH 9187 |
| Business Practice Address: | 228 Southpark Cir E Saint Augustine, FL - 320865135 |
| Business Phone Number: | 9047975680 |
| Business Fax Number: | 9047975681 |
| Mailing Address: | 228 Southpark Cir E, SAINT AUGUSTINE |
| State: | FL |
| Postal Code: | 320865135 |
| Phone Number: | 9047975680 |
| Fax Number: | 9047975681 |
| NPI Enumeration Date: | 11/07/2006 |
| NPI Last Update Date: | 02/13/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | MH 9187 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |