Provider Demographics
NPI:1619255221
Name:JONES, MARLA J (LPC, LBSC, BC-TMH)
Entity Type:Individual
Prefix:MS
First Name:MARLA
Middle Name:J
Last Name:JONES
Suffix:
Gender:F
Credentials:LPC, LBSC, BC-TMH
Other - Prefix:MS
Other - First Name:MARLA
Other - Middle Name:J
Other - Last Name:TURNER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPC
Mailing Address - Street 1:510 LINDSEY DR
Mailing Address - Street 2:
Mailing Address - City:WAYNE
Mailing Address - State:PA
Mailing Address - Zip Code:19087-2339
Mailing Address - Country:US
Mailing Address - Phone:484-919-2774
Mailing Address - Fax:610-971-4888
Practice Address - Street 1:510 LINDSEY DR
Practice Address - Street 2:
Practice Address - City:WAYNE
Practice Address - State:PA
Practice Address - Zip Code:19087-2339
Practice Address - Country:US
Practice Address - Phone:610-971-9168
Practice Address - Fax:610-971-4888
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-31
Last Update Date:2018-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC004187101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional