Provider Demographics
NPI:1740325166
Name:JONES, STANLEY R (MA)
Entity type:Individual
Prefix:MR
First Name:STANLEY
Middle Name:R
Last Name:JONES
Suffix:
Gender:M
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3331 POWER INN RD
Mailing Address - Street 2:STE 190
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95826-3889
Mailing Address - Country:US
Mailing Address - Phone:916-875-9922
Mailing Address - Fax:916-875-9894
Practice Address - Street 1:3331 POWER INN RD
Practice Address - Street 2:STE 190
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95826-3889
Practice Address - Country:US
Practice Address - Phone:916-875-9922
Practice Address - Fax:916-875-9894
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health