Provider Demographics
NPI:1114507035
Name:JONES, CHANNING (LPC)
Entity Type:Individual
Prefix:
First Name:CHANNING
Middle Name:
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 1:5701 4TH ST STE 1111
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77493-2432
Mailing Address - Country:US
Mailing Address - Phone:713-844-8447
Mailing Address - Fax:
Practice Address - Street 1:15995 N BARKERS LANDING RD STE 370
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77079-2467
Practice Address - Country:US
Practice Address - Phone:713-844-8447
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-13
Last Update Date:2023-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
283Q00000X
TX82883101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No283Q00000XHospitalsPsychiatric Hospital