| Timothy Jones, Ma, Inc | |
|
309 W 4th St Ste 101 Washington MO 63090-2335 | |
| (636) 239-2054 | |
| Not Available |
| Full Name | Timothy Jones, Ma, Inc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 309 W 4th St Ste 101, Washington, Missouri |
| Authorized Official Name and Position | Timothy G Jones (PSYCHOTHERAPIST) |
| Authorized Official Contact | 6362392054 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Timothy Jones, Ma, Inc 309 W 4th St Ste 101 Washington MO 63090-2335 Ph: (636) 239-2054 | Timothy Jones, Ma, Inc 309 W 4th St Ste 101 Washington MO 63090-2335 Ph: (636) 239-2054 |
| NPI Number | 1477739902 |
|---|---|
| Provider Enumeration Date | 01/15/2008 |
| Last Update Date | 01/15/2008 |
| Medicare PECOS PAC ID | 2163504218 |
|---|---|
| Medicare Enrollment ID | O20080128000595 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477739902 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 003801 (Missouri) | Primary |
| 251S00000X | Community/behavioral Health | 001196 (Missouri) | Secondary |
| Provider Name | Timothy G Jones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699830844 PECOS PAC ID: 9537241682 Enrollment ID: I20080128000583 |
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