Bonnie Jones, Lcsw-c Psychotherapy Services | |
30 Hickory Ave Takoma Park MD 20912-4622 | |
(240) 997-0013 | |
Not Available |
Full Name | Bonnie Jones, Lcsw-c Psychotherapy Services |
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Speciality | Social Worker - Clinical |
Location | 30 Hickory Ave, Takoma Park, Maryland |
Authorized Official Name and Position | Bonnie Marie Jones (OWNER) |
Authorized Official Contact | 2409970013 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Bonnie Jones, Lcsw-c Psychotherapy Services 30 Hickory Ave Takoma Park MD 20912-4622 Ph: (240) 997-0013 | Bonnie Jones, Lcsw-c Psychotherapy Services 30 Hickory Ave Takoma Park MD 20912-4622 Ph: (240) 997-0013 |
NPI Number | 1972926772 |
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Provider Enumeration Date | 01/29/2014 |
Last Update Date | 01/29/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1972926772 | NPI | - | NPPES |
1295813756 | Other | NATIONAL PROVIDER IDENTIFIER - INDIVIDUAL | |
754248800 | Medicaid | MD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 08140 (Maryland) | Primary |
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