Provider Demographics
NPI:1518602929
Name:JONES, LATRICE (LCDCI)
Entity Type:Individual
Prefix:
First Name:LATRICE
Middle Name:
Last Name:JONES
Suffix:
Gender:F
Credentials:LCDCI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22902 HIGHLAND BLUFF LN
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77373-8688
Mailing Address - Country:US
Mailing Address - Phone:832-342-6525
Mailing Address - Fax:
Practice Address - Street 1:12830 WILLOW CENTRE DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77066-3040
Practice Address - Country:US
Practice Address - Phone:832-342-6525
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-29
Last Update Date:2022-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)