Individual
MRS. KENDRA MARIE JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW/PIP
Contact information
Practice address
12701 PADGETT SWITCH RD, IRVINGTON, AL 36544-4011
(251) 824-2174
(251) 824-2286
Mailing address
PO BOX 769, BAYOU LA BATRE, AL 36509-0769
(251) 824-2174
(251) 824-2286
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3707C
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1154-3707C
PIP LICENSE NUMBER
AL
01
—
3707C
LCSW NO.
AL
Enumeration date
12/04/2014
Last updated
12/04/2014
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