Provider Demographics
NPI:1194540567
Name:JONES, YADIRA MILAGROS
Entity type:Individual
Prefix:
First Name:YADIRA
Middle Name:MILAGROS
Last Name:JONES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:CMR 414 BOX 1205
Mailing Address - Street 2:
Mailing Address - City:APO
Mailing Address - State:AE
Mailing Address - Zip Code:09173-1013
Mailing Address - Country:US
Mailing Address - Phone:314-590-3382
Mailing Address - Fax:
Practice Address - Street 1:US ARMY HEALTH CLINIC HOHENFELS
Practice Address - Street 2:UNIT 28216, CMR 414
Practice Address - City:APO
Practice Address - State:AE
Practice Address - Zip Code:09173
Practice Address - Country:US
Practice Address - Phone:314-590-3382
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-20
Last Update Date:2024-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1078351041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical