Provider Demographics
NPI:1275187494
Name:JONES, VICKI (LCSW, CADC-I)
Entity Type:Individual
Prefix:
First Name:VICKI
Middle Name:
Last Name:JONES
Suffix:
Gender:F
Credentials:LCSW, CADC-I
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3870 RED MOUNTAIN PL
Mailing Address - Street 2:
Mailing Address - City:FALLON
Mailing Address - State:NV
Mailing Address - Zip Code:89406-3244
Mailing Address - Country:US
Mailing Address - Phone:775-666-0927
Mailing Address - Fax:
Practice Address - Street 1:131 S MAINE ST STE 202
Practice Address - Street 2:
Practice Address - City:FALLON
Practice Address - State:NV
Practice Address - Zip Code:89406-3455
Practice Address - Country:US
Practice Address - Phone:775-666-0927
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-25
Last Update Date:2021-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV02380-I101YA0400X
NV9010C101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)