Doctor Name: | MATTHEW WAYNE JONES |
NPI Number: | 1275955700 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LPC |
License Number: | 178.007604 |
Business Practice Address: | 10200 W. Grand Ave Franklin Park, IL - 60131 |
Business Phone Number: | 8474555688 |
Business Fax Number: | 8474550744 |
Mailing Address: | 10001 W. Grand Avenue, FRANKLIN PARK |
State: | IL |
Postal Code: | 60131 |
Phone Number: | 8474510330 |
Fax Number: | 8474511652 |
NPI Enumeration Date: | 01/17/2014 |
NPI Last Update Date: | 01/17/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 178.007604 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |