Organization
MARK R JONES DBA CLEARWATER COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK R JONES LCSW (OWNER)
(208) 743-8101
Entity
Organization
Contact information
Practice address
1020 MAIN ST, LEWISTON, ID 83501-1842
(208) 743-8101
(208) 746-7402
Mailing address
PO BOX 1123, LEWISTON, ID 83501-1123
(208) 743-8101
(208) 746-7402
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
805879700
—
ID
Enumeration date
04/02/2007
Last updated
07/23/2008
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