Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP1600X | Pastoral Counselor | LMHC 002235 | NY |
NPI | 1154532067 |
---|---|
Provider Name | Dr. H. Kimball Jones |
First Address | New York, NY 10025-2759 |
Second Address | New York, NY 10023-2895 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/05/2007 |
Last Update Date | 08/07/2007 |