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Provider Information for 1295382570


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CALLENA JONES MHC


Sex: Female

NPI: 1295382570
Last Updated: 2019-08-21
Certification Date:

Details

NameValue
NPI1295382570
Enumeration Date2019-08-21
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address 4695 NW 44TH TER
OCALA, FL 34482-4806
United States

Phone: 352-301-0986 | Fax:352-629-7976
 
Primary Practice Address 2700 WESTHALL LN STE 207
MAITLAND, FL 32751-7478
United States

Phone: 800-840-2528 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 101YM0800X - Counselor - Mental Health