Doctor Name: | ANN LOUISE JONES |
NPI Number: | 1174616247 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A., L.P. |
License Number: | LP2866 |
Business Practice Address: | 521 Tanglewood Dr Shoreview, MN - 551262016 |
Business Phone Number: | 6516360107 |
Business Fax Number: | |
Mailing Address: | 3065 Fairview Ave N, ROSEVILLE |
State: | MN |
Postal Code: | 551131244 |
Phone Number: | 6516360107 |
Fax Number: | |
NPI Enumeration Date: | 10/02/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC1900X |
License Number: | LP2866 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Counseling |
Taxonomy Definition: |