Doctor Name: | MARK R JONES |
NPI Number: | 1801989595 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | ACSW, LCSW |
License Number: | CW-001690-L |
Business Practice Address: | 5035 Old William Penn Hwy Export, PA - 15632 |
Business Phone Number: | 7247333491 |
Business Fax Number: | 7247333498 |
Mailing Address: | 4259 Bulltown Rd, MURRYSVILLE |
State: | PA |
Postal Code: | 156689503 |
Phone Number: | 7247333801 |
Fax Number: | 7247333498 |
NPI Enumeration Date: | 10/02/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | CW-001690-L |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |