Doctor Name: | GREGORY JONES |
NPI Number: | 1174984256 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | |
Business Practice Address: | 58155 Chinn St Plaquemine, LA - 707643601 |
Business Phone Number: | 2253854543 |
Business Fax Number: | 8668259703 |
Mailing Address: | 58155 Chinn St, PLAQUEMINE |
State: | LA |
Postal Code: | 707643601 |
Phone Number: | 2253854543 |
Fax Number: | 8668259703 |
NPI Enumeration Date: | 03/16/2016 |
NPI Last Update Date: | 03/16/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |