MEDICARE: RYAN JONES LPC

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
1	101YP2500X	Professional Counselor	0018407	CO

General Provider Information

NPI Number	:	1952036915
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RYAN JONES LPC

Provider Business Mailing Address
First Line	:	605 GLACIER DR
Second Line	:
City	:	GRAND JUNCTION
State	:	CO
Zip	:	81507-1007
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	546 MAIN ST STE 403
Second Line	:
City	:	GRAND JUNCTION
State	:	CO
Zip	:	81501-2683
Country	:	US
Telephone Number	:	970-341-2829
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/22/2022
Last Update Date	:	04/21/2026

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