Individual
MR. BENNIE DEAN JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AA, BS, CPSS
Contact information
Practice address
1110 N 16TH STREET, UNIT 216, PHOENIX, AZ 85006
(602) 330-2056
Mailing address
1110 N 16TH STREET, UNIT 216, PHOENIX, AZ 85006
(602) 330-2056
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
ROC99999
AZ
Other
Enumeration date
04/13/2015
Last updated
04/13/2015
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