Individual
JAMES TODD JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
1100 WALNUT ST, OWENSBORO, KY 42301-2956
(270) 689-6500
Mailing address
1100 WALNUT ST, OWENSBORO, KY 42301-2956
(270) 689-6500
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
10043
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10043
—
KY
Enumeration date
08/30/2018
Last updated
08/30/2018
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