Provider Demographics
NPI:1548558505
Name:JONES, MONICA ANISE (MA LLPC)
Entity Type:Individual
Prefix:MISS
First Name:MONICA
Middle Name:ANISE
Last Name:JONES
Suffix:
Gender:F
Credentials:MA LLPC
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Mailing Address - Street 1:13101 ALLEN RD
Mailing Address - Street 2:SUITE 500
Mailing Address - City:SOUTHGATE
Mailing Address - State:MI
Mailing Address - Zip Code:48195-2216
Mailing Address - Country:US
Mailing Address - Phone:734-785-7704
Mailing Address - Fax:734-287-4192
Practice Address - Street 1:13101 ALLEN RD
Practice Address - Street 2:SUITE 500
Practice Address - City:SOUTHGATE
Practice Address - State:MI
Practice Address - Zip Code:48195-2216
Practice Address - Country:US
Practice Address - Phone:734-785-7704
Practice Address - Fax:734-287-4192
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-12
Last Update Date:2011-07-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI6401006792101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional