MEDICARE: MR. AARON JAMES JONES III MA, LPC

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
1	101YM0800X	Mental Health Counselor	PRC863	DC

General Provider Information

NPI Number	:	1922158344
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. AARON JAMES JONES III MA, LPC

Provider Business Mailing Address
First Line	:	5047 COLBURN TER
Second Line	:
City	:	HYATTSVILLE
State	:	MD
Zip	:	20782-2349
Country	:	US
Telephone Number	:	301-221-9036
Fax Number	:

Provider Business Practice Location Address
First Line	:	1129 11TH ST NW
Second Line	:	2ND FLOOR
City	:	WASHINGTON
State	:	DC
Zip	:	20001-4354
Country	:	US
Telephone Number	:	301-221-9036
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/10/2007
Last Update Date	:	07/08/2007

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