Doctor Name: | MR. JEFF M LONEY |
NPI Number: | 1114104965 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LMHC |
License Number: | 00772 |
Business Practice Address: | 1003 Cottonwood Rd Creston, IA - 508011012 |
Business Phone Number: | 6417828457 |
Business Fax Number: | 6417827048 |
Mailing Address: | 1003 Cottonwood Rd, CRESTON |
State: | IA |
Postal Code: | 508011012 |
Phone Number: | 6417828457 |
Fax Number: | 6417827048 |
NPI Enumeration Date: | 01/23/2008 |
NPI Last Update Date: | 05/27/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 00772 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |