Provider Demographics
NPI:1619583432
Name:JONES, DON DEL-RAYE (BSW, MSW, LCSW-A, QP)
Entity Type:Individual
Prefix:MR
First Name:DON
Middle Name:DEL-RAYE
Last Name:JONES
Suffix:
Gender:M
Credentials:BSW, MSW, LCSW-A, QP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:521 REMPSTONE LN
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28311-5501
Mailing Address - Country:US
Mailing Address - Phone:910-551-8240
Mailing Address - Fax:
Practice Address - Street 1:521 REMPSTONE LN
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28311-5501
Practice Address - Country:US
Practice Address - Phone:910-551-8240
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-17
Last Update Date:2020-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health