Doctor Name: | JANE CONSTANCE JONES |
NPI Number: | 1104140573 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA, LPC |
License Number: | APC002402 |
Business Practice Address: | 100 Glendalough Ct Suite E Tyrone, GA - 302902942 |
Business Phone Number: | 7706839375 |
Business Fax Number: | 6788682354 |
Mailing Address: | 100 Glendalough Ct, Suite E TYRONE |
State: | GA |
Postal Code: | 302902942 |
Phone Number: | 7706839375 |
Fax Number: | 6788682354 |
NPI Enumeration Date: | 03/15/2010 |
NPI Last Update Date: | 01/17/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | APC002402 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | GA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |