Provider Demographics
NPI:1013586353
Name:JONES, NICOLE HOPE (MS, LPC)
Entity Type:Individual
Prefix:
First Name:NICOLE
Middle Name:HOPE
Last Name:JONES
Suffix:
Gender:F
Credentials:MS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11103 DUBLIN LDG
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78254-5467
Mailing Address - Country:US
Mailing Address - Phone:843-640-8469
Mailing Address - Fax:
Practice Address - Street 1:11103 DUBLIN LDG
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78254-5467
Practice Address - Country:US
Practice Address - Phone:843-640-8469
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-22
Last Update Date:2021-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX83044101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health