Provider Demographics
NPI:1568755676
Name:MARK S JONES, PLLC
Entity Type:Organization
Organization Name:MARK S JONES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:D.MIN.
Authorized Official - Prefix:DR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:S
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:DMIN, LMFT, LPC
Authorized Official - Phone:210-862-6992
Mailing Address - Street 1:16607 BLANCO RD
Mailing Address - Street 2:12102
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78232-1913
Mailing Address - Country:US
Mailing Address - Phone:210-862-6992
Mailing Address - Fax:210-468-0679
Practice Address - Street 1:16607 BLANCO RD
Practice Address - Street 2:12102
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78232-1913
Practice Address - Country:US
Practice Address - Phone:210-862-6992
Practice Address - Fax:210-468-0679
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-23
Last Update Date:2011-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty