Provider Demographics
NPI:1417166869
Name:JONES, MARSHA A (MA, LMFT)
Entity Type:Individual
Prefix:
First Name:MARSHA
Middle Name:A
Last Name:JONES
Suffix:
Gender:F
Credentials:MA, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6320 EVERGREEN WAY STE 201
Mailing Address - Street 2:
Mailing Address - City:EVERETT
Mailing Address - State:WA
Mailing Address - Zip Code:98203-4560
Mailing Address - Country:US
Mailing Address - Phone:425-220-7042
Mailing Address - Fax:425-512-8049
Practice Address - Street 1:6320 EVERGREEN WAY STE 201
Practice Address - Street 2:
Practice Address - City:EVERETT
Practice Address - State:WA
Practice Address - Zip Code:98203
Practice Address - Country:US
Practice Address - Phone:425-220-7042
Practice Address - Fax:425-220-7042
Is Sole Proprietor?:No
Enumeration Date:2007-05-22
Last Update Date:2018-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALF60008347106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA2069955Medicaid