Provider Demographics
NPI:1538709142
Name:JONES, ALISSA
Entity type:Individual
Prefix:
First Name:ALISSA
Middle Name:
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 1:2522 SE 7TH ST
Mailing Address - Street 2:
Mailing Address - City:DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50315-2009
Mailing Address - Country:US
Mailing Address - Phone:515-447-2299
Mailing Address - Fax:
Practice Address - Street 1:403 W MAIN ST
Practice Address - Street 2:
Practice Address - City:MINGO
Practice Address - State:IA
Practice Address - Zip Code:50168-1001
Practice Address - Country:US
Practice Address - Phone:641-521-6103
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-11
Last Update Date:2020-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker