Whalio Doctors

NPI 1023095346

Donald E Jones, LCSW

Practitioner Clinical Social Worker Crystal Lake, IL

Practice location

Address
100 N Walkup Ave, Crystal Lake, IL 60014-4383
Phone
(815) 444-1090
Fax
(815) 788-1345
Mailing address
1199 Westport Rdg, Crystal Lake, IL 60014-8988

Registered specialties

Clinical Social Worker Primary
Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence 149 -- 004219 (IL)

Registry record

NPI
1023095346
Entity type
Individual
Sex (as registered)
Male
NPI issued
28 Dec 2005
Record last updated
18 Apr 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.