Provider Demographics
NPI:1538457858
Name:JONES, VICKI JO (LPC)
Entity Type:Individual
Prefix:
First Name:VICKI
Middle Name:JO
Last Name:JONES
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:VICKI
Other - Middle Name:JO
Other - Last Name:LEWIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4400 HEMINGWAY DR APT 232
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73118-2244
Mailing Address - Country:US
Mailing Address - Phone:405-532-9336
Mailing Address - Fax:
Practice Address - Street 1:527 NW 23RD ST STE 175
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73103-1515
Practice Address - Country:US
Practice Address - Phone:405-601-3030
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-20
Last Update Date:2024-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK101YP2500X
OKLPC05200101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional