Healthcare Provider Details

I. General information

NPI: 1336503432
Provider Name (Legal Business Name): VALERIA JONES
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/05/2016
Last Update Date: 04/05/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

908 TALCOTT ST
SEDRO WOOLLEY WA
98284-1802
US

IV. Provider business mailing address

908 TALCOTT ST
SEDRO WOOLLEY WA
98284-1802
US

V. Phone/Fax

Practice location:
  • Phone: 360-540-9203
  • Fax:
Mailing address:
  • Phone: 360-540-9203
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberSC 60599311
License Number StateWA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: