Provider Demographics
NPI:1447659743
Name:JONES, ALLISON G (RMHCI)
Entity type:Individual
Prefix:MRS
First Name:ALLISON
Middle Name:G
Last Name:JONES
Suffix:
Gender:F
Credentials:RMHCI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1789 MADISON IVY CIR
Mailing Address - Street 2:
Mailing Address - City:APOPKA
Mailing Address - State:FL
Mailing Address - Zip Code:32712-4433
Mailing Address - Country:US
Mailing Address - Phone:863-444-8621
Mailing Address - Fax:
Practice Address - Street 1:1850 OLYMPIAN WAY
Practice Address - Street 2:
Practice Address - City:WINTER HAVEN
Practice Address - State:FL
Practice Address - Zip Code:33881-2161
Practice Address - Country:US
Practice Address - Phone:863-595-0167
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-22
Last Update Date:2014-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLJ520007687910101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health