MR. ELLIS W. JONES NPI 1053512608

NPI Information

NPI: 1053512608
Provider Name: MR. ELLIS W. JONES
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
7501 INTERNATIONAL BLVD.
OAKLAND, CA
ZIP 94621
Phone: (510) 729-8803
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MR. Ellis W. Jones is an addiction (substance use disorder) counselor in Oakland, CA. MR. Ellis W. Jones NPI is 1053512608. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

7501 INTERNATIONAL BLVD.
OAKLAND, CA
ZIP 94621
Phone: (510) 729-8803

The enumeration date for this NPI number is 5/30/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2215	OTHER	CALIFORNIA	REGISTRATION NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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