Provider Demographics
NPI:1588830046
Name:JONES, TRALANA EVON (LMSW)
Entity type:Individual
Prefix:MISS
First Name:TRALANA
Middle Name:EVON
Last Name:JONES
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7425 E 17TH ST N
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67206-1067
Mailing Address - Country:US
Mailing Address - Phone:316-201-3233
Mailing Address - Fax:316-221-1099
Practice Address - Street 1:209 E WILLIAM ST
Practice Address - Street 2:SUITE # 308
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67202-4017
Practice Address - Country:US
Practice Address - Phone:316-201-3233
Practice Address - Fax:316-221-1099
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-05
Last Update Date:2017-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS8568104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker