Provider Demographics
NPI:1437545860
Name:MCJONES, EMILY ROSE (MA, LLP)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:ROSE
Last Name:MCJONES
Suffix:
Gender:F
Credentials:MA, LLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:320 N SYCAMORE ST
Mailing Address - Street 2:
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48933-1096
Mailing Address - Country:US
Mailing Address - Phone:517-325-9594
Mailing Address - Fax:
Practice Address - Street 1:320 N SYCAMORE ST
Practice Address - Street 2:
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48933-1096
Practice Address - Country:US
Practice Address - Phone:517-325-9594
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-04-13
Last Update Date:2024-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6301015981103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling