Provider Demographics
NPI:1215581608
Name:JONES, DANIEL WAYNE II (MSW INTERN)
Entity type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:WAYNE
Last Name:JONES
Suffix:II
Gender:M
Credentials:MSW INTERN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4561 KIPLING ST APT 19
Mailing Address - Street 2:
Mailing Address - City:WHEAT RIDGE
Mailing Address - State:CO
Mailing Address - Zip Code:80033-2869
Mailing Address - Country:US
Mailing Address - Phone:317-777-0271
Mailing Address - Fax:
Practice Address - Street 1:1390 CHAMBERS RD
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80011-7195
Practice Address - Country:US
Practice Address - Phone:303-617-2424
Practice Address - Fax:303-364-1077
Is Sole Proprietor?:No
Enumeration Date:2019-07-24
Last Update Date:2019-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO00000000101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor