Individual
MR. EDWARD L JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4729 HARTFORD DR, FORT WAYNE, IN 46835-4213
(260) 804-3908
Mailing address
4729 HARTFORD DR, FORT WAYNE, IN 46835-4213
(260) 804-3908
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
IN
Other
Enumeration date
09/20/2018
Last updated
09/20/2018
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