Provider Demographics
NPI:1144416595
Name:JONES, WILLIAM HENRY (DMIN LPCCSC LICDC CS)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:HENRY
Last Name:JONES
Suffix:
Gender:M
Credentials:DMIN LPCCSC LICDC CS
Other - Prefix:
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Mailing Address - Street 1:2651 CHELTENHAM RD
Mailing Address - Street 2:WMH JONES
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43606
Mailing Address - Country:US
Mailing Address - Phone:419-474-9960
Mailing Address - Fax:419-865-9615
Practice Address - Street 1:1627 HENTHORNE DR
Practice Address - Street 2:
Practice Address - City:MAUMEE
Practice Address - State:OH
Practice Address - Zip Code:43537
Practice Address - Country:US
Practice Address - Phone:419-474-9960
Practice Address - Fax:419-865-9615
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-19
Last Update Date:2007-09-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OHLICDC976165101YA0400X
OHLPCCSC1601101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional