Provider Demographics
NPI:1477829836
Name:JONES, BARBARA ALICE (LADC)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:ALICE
Last Name:JONES
Suffix:
Gender:F
Credentials:LADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:120 US HIGHWAY 50 W
Mailing Address - Street 2:#2
Mailing Address - City:DAYTON
Mailing Address - State:NV
Mailing Address - Zip Code:89403-6645
Mailing Address - Country:US
Mailing Address - Phone:775-246-3008
Mailing Address - Fax:775-246-0851
Practice Address - Street 1:120 US HIGHWAY 50 W
Practice Address - Street 2:#2
Practice Address - City:DAYTON
Practice Address - State:NV
Practice Address - Zip Code:89403-6645
Practice Address - Country:US
Practice Address - Phone:775-246-3008
Practice Address - Fax:775-246-0851
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-29
Last Update Date:2017-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVL-01320101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)