Provider Demographics
NPI:1518944412
Name:JONES, KIT (LPC)
Entity Type:Individual
Prefix:MS
First Name:KIT
Middle Name:
Last Name:JONES
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2308 RYAN PLACE DR
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76110-2545
Mailing Address - Country:US
Mailing Address - Phone:817-921-0433
Mailing Address - Fax:817-921-0533
Practice Address - Street 1:2308 RYAN PLACE DR
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76110-2545
Practice Address - Country:US
Practice Address - Phone:817-921-0433
Practice Address - Fax:817-921-0533
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-12-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX15337101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional