Doctor Name: | WILLIAM JOHEAVEN JONES |
NPI Number: | 1245532118 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LCAS; LCSW |
License Number: | 1710 |
Business Practice Address: | 154 Beacon Dr Suite I Winterville, NC - 285907995 |
Business Phone Number: | 2523531114 |
Business Fax Number: | 2523531119 |
Mailing Address: | 4300 Sapphire Ct Ste 110, GREENVILLE |
State: | NC |
Postal Code: | 278349079 |
Phone Number: | 2528307561 |
Fax Number: | 2524130932 |
NPI Enumeration Date: | 11/29/2010 |
NPI Last Update Date: | 07/20/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 1710 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |