Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YS0200X | School Counselor | 3102743 | AZ |
NPI | 1225222185 |
---|---|
Provider Name | Irene B Jones |
First Address | Page, AZ 86040-3253 |
Second Address | Page, AZ 86040 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/09/2007 |
Last Update Date | 04/09/2007 |