Individual
FRANK JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7972 MAPLE AVE SE, SNOQUALMIE, WA 98065
(425) 292-0743
Mailing address
414 FRONT ST N, ISSAQUAH, WA 98027-2914
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
CG60846960
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CG60846960
COUNSELOR AGENCY AFFILIATED REGISTRATION
WA
Enumeration date
10/29/2018
Last updated
12/11/2018
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