Provider Demographics
NPI:1114282514
Name:JONES, SIMEON DANIEL (LMFT)
Entity Type:Individual
Prefix:
First Name:SIMEON
Middle Name:DANIEL
Last Name:JONES
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:140 E COLORADO BLVD
Mailing Address - Street 2:# D
Mailing Address - City:MONROVIA
Mailing Address - State:CA
Mailing Address - Zip Code:91016-5110
Mailing Address - Country:US
Mailing Address - Phone:626-373-4569
Mailing Address - Fax:
Practice Address - Street 1:140 E COLORADO BLVD
Practice Address - Street 2:# D
Practice Address - City:MONROVIA
Practice Address - State:CA
Practice Address - Zip Code:91016-5110
Practice Address - Country:US
Practice Address - Phone:626-373-4569
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-11
Last Update Date:2012-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC 48389106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist