Provider Demographics
NPI:1215423942
Name:JONES, LAREE ANN (MASTER SOCIAL WORKER)
Entity type:Individual
Prefix:MRS
First Name:LAREE
Middle Name:ANN
Last Name:JONES
Suffix:
Gender:F
Credentials:MASTER SOCIAL WORKER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1355 CHEROKEE LN
Mailing Address - Street 2:
Mailing Address - City:BULLHEAD CITY
Mailing Address - State:AZ
Mailing Address - Zip Code:86442-7438
Mailing Address - Country:US
Mailing Address - Phone:928-219-7598
Mailing Address - Fax:
Practice Address - Street 1:1099 HANCOCK RD
Practice Address - Street 2:
Practice Address - City:BULLHEAD CITY
Practice Address - State:AZ
Practice Address - Zip Code:86442-5957
Practice Address - Country:US
Practice Address - Phone:928-219-7598
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-05
Last Update Date:2018-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker