Individual
DR. JOHN PAUL JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
606 N COURT AVE, GAYLORD, MI 49735-1516
(989) 732-6488
(989) 732-2551
Mailing address
5199 GREENVIEW DR, GAYLORD, MI 49735-9550
(231) 546-2027
(989) 732-2551
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
6301003256
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
087989
VALUE OPTIONS ID
MI
01
—
11255933
CAQH ID
MI
01
—
277152000
MAGELLAN PIN NO.
MI
01
—
680F910370
BCBS PIN NO
MI
01
—
JJ003256
STATE NO
MI
Enumeration date
01/25/2007
Last updated
05/28/2021
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