Individual
MR. DONALD E JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149 -- 004219
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05632141
BC/BS
IL
01
—
545749
VALUE OPTIONS
IL
Enumeration date
12/28/2005
Last updated
04/18/2017
Update your record
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