Provider Demographics
NPI:1376834168
Name:JONES, CHRISTOPHER ALLEN (CADCII, SAP)
Entity Type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:ALLEN
Last Name:JONES
Suffix:
Gender:M
Credentials:CADCII, SAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1659 SCOTT BLVD
Mailing Address - Street 2:SUITE 30
Mailing Address - City:SANTA CLARA
Mailing Address - State:CA
Mailing Address - Zip Code:95050-4172
Mailing Address - Country:US
Mailing Address - Phone:408-829-2299
Mailing Address - Fax:408-445-8536
Practice Address - Street 1:1659 SCOTT BLVD
Practice Address - Street 2:SUITE 22
Practice Address - City:SANTA CLARA
Practice Address - State:CA
Practice Address - Zip Code:95050-4172
Practice Address - Country:US
Practice Address - Phone:408-829-2299
Practice Address - Fax:408-445-8536
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-27
Last Update Date:2011-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA8567406 CAADAC101YA0400X
CA88654472 NASW104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No104100000XBehavioral Health & Social Service ProvidersSocial Worker