Provider Demographics
NPI:1437575339
Name:JONES, SHAWN (LCMHC)
Entity Type:Individual
Prefix:MS
First Name:SHAWN
Middle Name:
Last Name:JONES
Suffix:
Gender:F
Credentials:LCMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 WESTLAKE RD STE 102
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28314-4871
Mailing Address - Country:US
Mailing Address - Phone:910-286-9730
Mailing Address - Fax:183-329-9842
Practice Address - Street 1:100 WESTLAKE RD STE 102
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28314-4871
Practice Address - Country:US
Practice Address - Phone:910-286-9730
Practice Address - Fax:833-299-8421
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-15
Last Update Date:2021-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA10707101YP2500X
NC10707101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty