Individual
CHARLES LENNON DAY JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1030 ADRIENNE LN, KALISPELL, MT 59901-1105
(406) 858-0799
Mailing address
1030 ADRIENNE LN, KALISPELL, MT 59901-1105
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
BBH-LCSW-LIC-16249
MT
Other
Enumeration date
02/18/2016
Last updated
02/18/2016
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