| Doctor Name: | MR. MICHAEL B. JONES |
| NPI Number: | 1801878129 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MA |
| License Number: | 2435 |
| Business Practice Address: | 193 N. Nc Hwy 41 Beulaville, NC - 285181321 |
| Business Phone Number: | 9102986207 |
| Business Fax Number: | 9102986293 |
| Mailing Address: | 193 N Nc Hwy. 41, BEULAVILLE |
| State: | NC |
| Postal Code: | 285181321 |
| Phone Number: | 9102986207 |
| Fax Number: | 9102986293 |
| NPI Enumeration Date: | 11/14/2005 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC2200X |
| License Number: | 2435 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical Child & Adolescent |
| Taxonomy Definition: | |