Provider Information for 1841425626
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Mr. PATRICK J JONES LPA, LCMHC, LCAS
Sex: Male
NPI: 1841425626
Last Updated: 2022-06-19
Certification Date: 2022-06-19
Certification Date: 2022-06-19
Details
| Name | Value | ||||||||||||||||||||||||
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| NPI | 1841425626 | ||||||||||||||||||||||||
| Enumeration Date | 2009-05-21 | ||||||||||||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||||||||||||
| Sole Proprietor | NO | ||||||||||||||||||||||||
| Status | Active | ||||||||||||||||||||||||
| Mailing Address | 468 PINE AVE PACIFIC GROVE, CA 93950-3440 United States Phone: 916-906-2440 | Fax: | ||||||||||||||||||||||||
| Primary Practice Address | 468 PINE AVE PACIFIC GROVE, CA 93950-3440 United States Phone: 916-906-2440 | Fax: | ||||||||||||||||||||||||
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