Provider Demographics
NPI:1033126438
Name:JONES, DANA M (LPC)
Entity Type:Individual
Prefix:
First Name:DANA
Middle Name:M
Last Name:JONES
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 HUBER ST
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:MS
Mailing Address - Zip Code:39110-6983
Mailing Address - Country:US
Mailing Address - Phone:601-955-3079
Mailing Address - Fax:601-861-4924
Practice Address - Street 1:598 YANDELL RD
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:MS
Practice Address - Zip Code:39046
Practice Address - Country:US
Practice Address - Phone:601-506-9724
Practice Address - Fax:601-861-4924
Is Sole Proprietor?:No
Enumeration Date:2006-08-01
Last Update Date:2018-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS1287101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS03688237Medicaid