| Doctor Name: | MRS. FAWN NICOLE JONES |
| NPI Number: | 1649503806 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LISW |
| License Number: | 1.1100158 |
| Business Practice Address: | 208 W Casablanca Ave Cannon Afb, NM - 881035009 |
| Business Phone Number: | 5757842474 |
| Business Fax Number: | |
| Mailing Address: | 2135 Tesuque Ct, PORTALES |
| State: | NM |
| Postal Code: | 881309382 |
| Phone Number: | 9407829167 |
| Fax Number: | |
| NPI Enumeration Date: | 09/04/2009 |
| NPI Last Update Date: | 12/14/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 1.1100158 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |