Doctor Name: | MR. LESLIE STARR JONES |
NPI Number: | 1124451976 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MFC |
License Number: | MFC 30691 |
Business Practice Address: | 684 Alamo Pintado Rd Suite D Solvang, CA - 934632265 |
Business Phone Number: | 8056801334 |
Business Fax Number: | |
Mailing Address: | Po Box 381, SOLVANG |
State: | CA |
Postal Code: | 934640381 |
Phone Number: | 8056801334 |
Fax Number: | |
NPI Enumeration Date: | 08/15/2013 |
NPI Last Update Date: | 08/15/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | MFC 30691 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |