Individual
CHARLES ETHIAN JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12625 HESPERIA RD, VICTORVILLE, CA 92395-7720
(909) 421-9311
Mailing address
12143 GALAXY ST, VICTORVILLE, CA 92392-9528
(909) 694-6018
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
29354
CA
Other
Enumeration date
03/06/2026
Last updated
03/06/2026
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