Provider Demographics
NPI:1154447704
Name:JONES, CARLY (LICSW)
Entity Type:Individual
Prefix:MRS
First Name:CARLY
Middle Name:
Last Name:JONES
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 N MULLAN RD
Mailing Address - Street 2:STE 222
Mailing Address - City:SPOKANE VALLEY
Mailing Address - State:WA
Mailing Address - Zip Code:99206-3793
Mailing Address - Country:US
Mailing Address - Phone:509-590-3799
Mailing Address - Fax:509-277-0136
Practice Address - Street 1:200 N MULLAN RD
Practice Address - Street 2:STE 222
Practice Address - City:SPOKANE VALLEY
Practice Address - State:WA
Practice Address - Zip Code:99206-3793
Practice Address - Country:US
Practice Address - Phone:509-590-3799
Practice Address - Fax:509-277-0136
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-22
Last Update Date:2018-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical