Individual
KATHLEEN JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MED
Contact information
Practice address
330 LAKEVIEW DR, GOSHEN, IN 46528-7000
(574) 533-1234
(574) 537-2652
Mailing address
330 LAKEVIEW DR, GOSHEN, IN 46528-7000
(574) 533-1234
(574) 537-2652
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/14/2020
Last updated
09/14/2020
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