Healthcare Provider Details

I. General information

NPI: 1952036915
Provider Name (Legal Business Name): RYAN JONES LPC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/22/2022
Last Update Date: 04/21/2026
Certification Date: 04/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

546 MAIN ST STE 403
GRAND JUNCTION CO
81501-2683
US

IV. Provider business mailing address

605 GLACIER DR
GRAND JUNCTION CO
81507-1007
US

V. Phone/Fax

Practice location:
  • Phone: 970-341-2829
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number0018407
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: