Individual
MICHAEL JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3700 W SELTICE WAY, COEUR D ALENE, ID 83814-8921
(208) 620-5250
Mailing address
PO BOX 1387, HAYDEN, ID 83835-1387
(208) 415-0299
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
7861977
ID
Other
Enumeration date
03/27/2014
Last updated
01/31/2025
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