Provider Demographics
NPI:1417056284
Name:JONES, LESLIE B (LPC)
Entity Type:Individual
Prefix:MRS
First Name:LESLIE
Middle Name:B
Last Name:JONES
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11870 SUNRISE VALLEY DR STE 200
Mailing Address - Street 2:
Mailing Address - City:RESTON
Mailing Address - State:VA
Mailing Address - Zip Code:20191-3303
Mailing Address - Country:US
Mailing Address - Phone:513-312-3488
Mailing Address - Fax:
Practice Address - Street 1:11870 SUNRISE VALLEY DR STE 200
Practice Address - Street 2:
Practice Address - City:RESTON
Practice Address - State:VA
Practice Address - Zip Code:20191-3303
Practice Address - Country:US
Practice Address - Phone:513-312-3488
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-21
Last Update Date:2022-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701005843101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH000000389783OtherANTHEM PIN#
OH595794000OtherMAGELLAN BEHAVIORAL HEALT