Provider Demographics
NPI:1871240564
Name:JONES, ARTHUR LEE JR (MDIV)
Entity Type:Individual
Prefix:PROF
First Name:ARTHUR
Middle Name:LEE
Last Name:JONES
Suffix:JR
Gender:M
Credentials:MDIV
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1850 SHADYSIDE DR
Mailing Address - Street 2:
Mailing Address - City:TOBYHANNA
Mailing Address - State:PA
Mailing Address - Zip Code:18466-3744
Mailing Address - Country:US
Mailing Address - Phone:570-972-5480
Mailing Address - Fax:
Practice Address - Street 1:2557 ROUTE 940
Practice Address - Street 2:
Practice Address - City:POCONO SUMMIT
Practice Address - State:PA
Practice Address - Zip Code:18346-7839
Practice Address - Country:US
Practice Address - Phone:570-972-5480
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-03
Last Update Date:2022-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral