Doctor Name: | MS. ANNETTE MARIE JONES |
NPI Number: | 1871787796 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PLPC |
License Number: | 2007025934 |
Business Practice Address: | 509 North Louise Forest City Counseling St. James, MO - 655591093 |
Business Phone Number: | 5732651069 |
Business Fax Number: | 5732651070 |
Mailing Address: | 201-d North Jefferson Street, Forest City Counseling ST. JAMES |
State: | MO |
Postal Code: | 655591945 |
Phone Number: | 5732651069 |
Fax Number: | 5732651070 |
NPI Enumeration Date: | 09/04/2007 |
NPI Last Update Date: | 07/11/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 2007025934 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |