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NPI Code Detail

MEDICARE: MR. DEAN T. JONES LCSW

MEDICARE: MR. DEAN T. JONES LCSW
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
11041C0700XClinical Social Worker70637CA

General Provider Information

NPI Number : 1821207028
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. DEAN T. JONES LCSW
Provider Business Mailing Address
First Line : PO BOX 2068
Second Line :
City : EL CERRITO
State : CA
Zip : 94530-5068
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 13601 SAN PABLO AVE
Second Line :
City : SAN PABLO
State : CA
Zip : 94806-3818
Country : US
Telephone Number : 510-374-4123
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/22/2007
Last Update Date : 03/06/2017

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