Individual
ANDREW SEAN JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, PH.D
Contact information
Practice address
240 MORRIS AVE STE 100, SALT LAKE CITY, UT 84115-3278
(801) 823-1486
Mailing address
16255 VENTURA BLVD STE 900, ENCINO, CA 91436-2317
(801) 935-4171
(704) 838-1541
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
103406
NC
103T00000X
Psychologist
Primary
13820914-2501
UT
103T00000X
Psychologist
1873
SC
103T00000X
Psychologist
4040
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
103406
LICENSE
NC
01
—
13820914-2501
LICENSE
UT
Enumeration date
05/21/2021
Last updated
10/08/2024
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