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NPI Code Detail

MEDICARE: KATHLEEN MARIA JONES

MEDICARE:   KATHLEEN MARIA 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
1373H00000XDay Training/Habilitation SpecialistCA

General Provider Information

NPI Number : 1407461965
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHLEEN MARIA JONES
Provider Business Mailing Address
First Line : 720 WOOD ST
Second Line :
City : EUREKA
State : CA
Zip : 95501-4413
Country : US
Telephone Number : 707-268-2990
Fax Number :
Provider Business Practice Location Address
First Line : 720 WOOD ST
Second Line :
City : EUREKA
State : CA
Zip : 95501-4413
Country : US
Telephone Number : 707-268-2990
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/11/2020
Last Update Date : 02/19/2026

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Directions to “ KATHLEEN MARIA JONES ” Practice Location

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