Individual
MR. MICHAEL ANTHONY JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1107 NORTH GILBERT RD, MESA, AZ 85204
(602) 254-9891
Mailing address
2400 N CENTRAL AVE STE 101, PHOENIX, AZ 85004-1300
(602) 264-9891
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
10879
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0820
—
AZ
Enumeration date
07/29/2017
Last updated
07/29/2017
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