Provider Demographics
NPI:1942459557
Name:JONES, ANTHONY O (MS COUNSELING)
Entity Type:Individual
Prefix:MR
First Name:ANTHONY
Middle Name:O
Last Name:JONES
Suffix:
Gender:M
Credentials:MS COUNSELING
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:3411 N KENNICOTT AVE
Mailing Address - Street 2:SUITE B
Mailing Address - City:ARLINGTON HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60004-7813
Mailing Address - Country:US
Mailing Address - Phone:847-398-1717
Mailing Address - Fax:847-398-7808
Practice Address - Street 1:3411 N KENNICOTT AVE
Practice Address - Street 2:SUITE B
Practice Address - City:ARLINGTON HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60004-7813
Practice Address - Country:US
Practice Address - Phone:847-398-1717
Practice Address - Fax:847-398-7808
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-18
Last Update Date:2008-09-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL1022157101YM0800X
IL1012257101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health