Individual
MICHAEL JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
2208 E 52ND ST, DAVENPORT, IA 52807-2726
(800) 531-4236
Mailing address
111 W 14TH ST, COAL VALLEY, IL 61240-8824
(815) 499-9443
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
Primary
114476
IA
Other
Enumeration date
11/07/2023
Last updated
11/07/2023
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