Individual
JOAN D JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
175 GWINNETT DR, LAWRENCEVILLE, GA 30046-8444
(678) 209-2394
Mailing address
PO BOX 660, FAIRBURN, GA 30213-0660
(404) 914-6192
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MSW004543
GA
104100000X
Social Worker
MSW004543
GA
Other
Enumeration date
11/07/2014
Last updated
11/07/2014
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