Provider Demographics
NPI:1417475476
Name:JONES, RACHEL JEANETTE (LMFT)
Entity Type:Individual
Prefix:MRS
First Name:RACHEL
Middle Name:JEANETTE
Last Name:JONES
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:620 STONEGLEN DR
Mailing Address - Street 2:
Mailing Address - City:KELLER
Mailing Address - State:TX
Mailing Address - Zip Code:76248-1310
Mailing Address - Country:US
Mailing Address - Phone:817-562-8800
Mailing Address - Fax:
Practice Address - Street 1:620 STONEGLEN DR
Practice Address - Street 2:
Practice Address - City:KELLER
Practice Address - State:TX
Practice Address - Zip Code:76248-1310
Practice Address - Country:US
Practice Address - Phone:817-562-8800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-08-30
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX202429106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX202429OtherTEXAS DEPARTMENT OF EXAMINERS OF MARRIAGE FAMILY THERAPISTS