| NPI | 1942601117 |
|---|---|
| Other Name | JON B VALES |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: CA 66813) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health (Licence: CA 66813) | |
| Enumeration Date | 2014-09-08 |
| Last Update Date | 2017-11-29 |