Individual
MR. CHARLIE LEE JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW PIP
Contact information
Practice address
2703 6TH STREET, TUSCALOOSA, AL 35401
(205) 394-7602
(205) 758-5202
Mailing address
2703 6TH STREET, TUSCALOOSA, AL 35401
(205) 394-7602
(205) 758-5202
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
01689C
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
515 25634
BLUE CROSS BLUE SHIELD
AL
01
—
62 00083
UNITED HEALTH CARE
AL
Enumeration date
02/07/2008
Last updated
02/07/2008
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