Provider Demographics
NPI:1891311502
Name:JONES, ASHLIE (MS, ADT)
Entity Type:Individual
Prefix:
First Name:ASHLIE
Middle Name:
Last Name:JONES
Suffix:
Gender:F
Credentials:MS, ADT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3226 HOFFMAN ST
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:IL
Mailing Address - Zip Code:60545-1992
Mailing Address - Country:US
Mailing Address - Phone:708-250-2505
Mailing Address - Fax:
Practice Address - Street 1:3226 HOFFMAN ST
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:IL
Practice Address - Zip Code:60545-1992
Practice Address - Country:US
Practice Address - Phone:708-250-2505
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-18
Last Update Date:2020-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)