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Individual

MR. CHARLES EDWARD JONES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LICENSE PROFESSIONAL

Contact information

Practice address
114 EAST HALL ST, THOMSON, GA 30824
(706) 597-1777
(706) 597-0955
Mailing address
P.O. BOX 1113, 114 EAST HALL ST, THOMSON, GA 30824
(706) 597-1777
(706) 597-0955

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
APC001652
GA
101YP2500X
Professional Counselor
Primary
LPC006021
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0000606317B
GA
Enumeration date
09/09/2009
Last updated
02/01/2011
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