Provider Demographics
NPI:1558413104
Name:JONES, RALPH G (MA, LPC)
Entity Type:Individual
Prefix:MR
First Name:RALPH
Middle Name:G
Last Name:JONES
Suffix:
Gender:M
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:206 S PINE ST
Mailing Address - Street 2:SUITE 105
Mailing Address - City:FLORENCE
Mailing Address - State:AL
Mailing Address - Zip Code:35630-5522
Mailing Address - Country:US
Mailing Address - Phone:256-764-3007
Mailing Address - Fax:256-764-9132
Practice Address - Street 1:206 S PINE ST
Practice Address - Street 2:SUITE 105
Practice Address - City:FLORENCE
Practice Address - State:AL
Practice Address - Zip Code:35630-5522
Practice Address - Country:US
Practice Address - Phone:256-764-3007
Practice Address - Fax:256-764-9132
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL815101YA0400X
ALAL-460101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional