Provider Demographics
NPI:1235747270
Name:JONES, SONJA
Entity Type:Individual
Prefix:
First Name:SONJA
Middle Name:
Last Name:JONES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:109 MEDICAL PARK DR STE C
Mailing Address - Street 2:
Mailing Address - City:ANDALUSIA
Mailing Address - State:AL
Mailing Address - Zip Code:36420-5364
Mailing Address - Country:US
Mailing Address - Phone:334-222-1818
Mailing Address - Fax:334-222-1919
Practice Address - Street 1:109 MEDICAL PARK DR STE C
Practice Address - Street 2:
Practice Address - City:ANDALUSIA
Practice Address - State:AL
Practice Address - Zip Code:36420-5364
Practice Address - Country:US
Practice Address - Phone:334-222-1818
Practice Address - Fax:334-222-1919
Is Sole Proprietor?:No
Enumeration Date:2020-07-15
Last Update Date:2020-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL3679C1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical