Provider Demographics
NPI:1598094310
Name:JONES, BENJAMIN BRITTON (MA, MFT)
Entity Type:Individual
Prefix:
First Name:BENJAMIN
Middle Name:BRITTON
Last Name:JONES
Suffix:
Gender:M
Credentials:MA, MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3468 MT DIABLO BLVD STE B201
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:CA
Mailing Address - Zip Code:94549-3959
Mailing Address - Country:US
Mailing Address - Phone:925-918-1339
Mailing Address - Fax:888-972-4659
Practice Address - Street 1:3468 MT DIABLO BLVD STE B201
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:CA
Practice Address - Zip Code:94549-3959
Practice Address - Country:US
Practice Address - Phone:925-918-1339
Practice Address - Fax:888-972-4659
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-08
Last Update Date:2015-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC 50886106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist