Provider Demographics
NPI:1023021425
Name:JONES, ANNIE L (PHD, LPC)
Entity Type:Individual
Prefix:DR
First Name:ANNIE
Middle Name:L
Last Name:JONES
Suffix:
Gender:F
Credentials:PHD, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26205 OAK RIDGE DR.
Mailing Address - Street 2:SUITE 106
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77380-1916
Mailing Address - Country:US
Mailing Address - Phone:936-292-9503
Mailing Address - Fax:281-466-8605
Practice Address - Street 1:26205 OAK RIDGE DR.
Practice Address - Street 2:SUITE 106
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77380-1916
Practice Address - Country:US
Practice Address - Phone:936-292-9503
Practice Address - Fax:281-466-8605
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-15
Last Update Date:2019-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX64333101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX64333OtherLICENSE