Provider Demographics
NPI:1164664843
Name:JONES, MARIA C (MED CAS NYSLMHC)
Entity Type:Individual
Prefix:MS
First Name:MARIA
Middle Name:C
Last Name:JONES
Suffix:
Gender:F
Credentials:MED CAS NYSLMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:67 RANDWOOD DR
Mailing Address - Street 2:
Mailing Address - City:GETZVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14068-1336
Mailing Address - Country:US
Mailing Address - Phone:716-639-1196
Mailing Address - Fax:
Practice Address - Street 1:67 RANDWOOD DR
Practice Address - Street 2:
Practice Address - City:GETZVILLE
Practice Address - State:NY
Practice Address - Zip Code:14068-1336
Practice Address - Country:US
Practice Address - Phone:716-639-1196
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-27
Last Update Date:2009-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY003442101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health