Provider Demographics
NPI:1316538531
Name:JONES, DARRELL J (LPC)
Entity Type:Individual
Prefix:
First Name:DARRELL
Middle Name:J
Last Name:JONES
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3907 AUTUMN MIST CT
Mailing Address - Street 2:
Mailing Address - City:CHESTERFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:23832-8492
Mailing Address - Country:US
Mailing Address - Phone:804-617-1352
Mailing Address - Fax:
Practice Address - Street 1:3907 AUTUMN MIST CT
Practice Address - Street 2:
Practice Address - City:CHESTERFIELD
Practice Address - State:VA
Practice Address - Zip Code:23832-8492
Practice Address - Country:US
Practice Address - Phone:804-617-1352
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-30
Last Update Date:2023-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0704011479101YP2500X
VA0701012113101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional