Provider Demographics
NPI:1467185462
Name:JONES, CHERY M (LAC, NCC, CSC)
Entity Type:Individual
Prefix:MS
First Name:CHERY
Middle Name:M
Last Name:JONES
Suffix:
Gender:F
Credentials:LAC, NCC, CSC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21 FLEETWOOD PL
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07106-3505
Mailing Address - Country:US
Mailing Address - Phone:201-349-6376
Mailing Address - Fax:
Practice Address - Street 1:21 FLEETWOOD PL
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:NJ
Practice Address - Zip Code:07106-3505
Practice Address - Country:US
Practice Address - Phone:201-349-6375
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-06
Last Update Date:2022-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ1497530101YM0800X
NJ1157435101YS0200X
NJ37AC00649000106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool