Provider Demographics
NPI:1902473341
Name:JONES, DOMINIQUE (ALC)
Entity Type:Individual
Prefix:
First Name:DOMINIQUE
Middle Name:
Last Name:JONES
Suffix:
Gender:F
Credentials:ALC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2970 COTTAGE HILL RD
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36606-4748
Mailing Address - Country:US
Mailing Address - Phone:251-459-0681
Mailing Address - Fax:
Practice Address - Street 1:2970 COTTAGE HILL RD
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36606-4748
Practice Address - Country:US
Practice Address - Phone:251-459-0681
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-04
Last Update Date:2023-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health