Individual
MR. JOHN PAUL JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCPC - 9219 (ID)
Contact information
Practice address
280 E 5TH N STE 280, MOUNTAIN HOME, ID 83647-2749
(208) 591-0760
Mailing address
280 E 5TH N STE 280, MOUNTAIN HOME, ID 83647-2749
(208) 580-8525
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LCMHC-13656427-6004
UT
101YM0800X
Mental Health Counselor
Primary
LCPC-9219
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1184880924
—
ID
Enumeration date
06/23/2016
Last updated
07/31/2024
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