Provider Demographics
NPI:1578149886
Name:JONES, ROCHELLE CASS
Entity Type:Individual
Prefix:
First Name:ROCHELLE
Middle Name:CASS
Last Name:JONES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:606 SANDY RUN DR
Mailing Address - Street 2:
Mailing Address - City:HINESVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:31313-3404
Mailing Address - Country:US
Mailing Address - Phone:925-577-8421
Mailing Address - Fax:
Practice Address - Street 1:606 SANDY RUN DR
Practice Address - Street 2:
Practice Address - City:HINESVILLE
Practice Address - State:GA
Practice Address - Zip Code:31313-3404
Practice Address - Country:US
Practice Address - Phone:925-577-8421
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-18
Last Update Date:2021-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health