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NPI Code Detail

MEDICARE: ERNEST JONES

MEDICARE: ERNEST JONES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1558404673
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERNEST JONES
Provider Business Mailing Address
First Line : PO BOX 994
Second Line :
City : LUCERNE
State : CA
Zip : 95458-0994
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6150 ORR SPRINGS RD
Second Line :
City : UKIAH
State : CA
Zip : 95482-9032
Country : US
Telephone Number : 707-462-5056
Fax Number : 707-462-5205
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/15/2007
Last Update Date : 03/17/2008

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