Provider Information for 1811502305
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GAYE L JONES-WASHINGTON LPC, CRC
Sex: Female
NPI: 1811502305
Last Updated: 2024-10-28
Certification Date: 2024-10-04
Certification Date: 2024-10-04
Details
| Name | Value | ||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1811502305 | ||||||||||||||||
| Enumeration Date | 2020-09-10 | ||||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||||
| Sole Proprietor | YES | ||||||||||||||||
| Status | Active | ||||||||||||||||
| Mailing Address | 18411 FAWN TREE DR LITTLE ROCK, AR 72210-7131 United States Phone: 501-313-0825 | Fax: | ||||||||||||||||
| Primary Practice Address | 18411 FAWN TREE DR LITTLE ROCK, AR 72210-7131 United States Phone: 501-258-2040 | Fax: | ||||||||||||||||
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