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General NPI Number Information
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NPI Number | 1871569624
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Entity Type | Individual
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Provider Name | MICHAEL RYAN JONES L.P.C.
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Gender | Male
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Dates
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Enumeration Date | 02/23/2006
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Last Update Date | 12/15/2017
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Provider Practice Location Address
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Address Line | 3604 CENTRAL AVE SUITE C
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City | HOT SPRINGS
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State | AR
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Zip | 71913
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Country | US
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Telephone | 501-624-7111
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Fax | 501-620-5109
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Provider Business Mailing Address
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Address Line | 10025 WEST MARKHAM ST SUITE 210
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City | LITTLE ROCK
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State | AR
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Zip | 72205
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Country | US
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Telephone | 501-663-5473
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Fax | 501-801-1816
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | A0505036
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License Number State | AR
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | P0802019
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License Number State | AR
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