Provider Demographics
NPI:1558642686
Name:JONES, SARAH MALINDA (MS, PCC, LCDC III)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:MALINDA
Last Name:JONES
Suffix:
Gender:F
Credentials:MS, PCC, LCDC III
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 S HIGHVIEW RD
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:OH
Mailing Address - Zip Code:45044-5027
Mailing Address - Country:US
Mailing Address - Phone:513-423-6621
Mailing Address - Fax:513-423-9931
Practice Address - Street 1:10 S HIGHVIEW RD
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:OH
Practice Address - Zip Code:45044-5027
Practice Address - Country:US
Practice Address - Phone:513-423-6621
Practice Address - Fax:513-423-9931
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-02
Last Update Date:2011-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH101128101YA0400X
OHE. 0700282101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)