Provider Demographics
NPI:1629270525
Name:JONES, LANA LEE (PHD, LMFT)
Entity Type:Individual
Prefix:DR
First Name:LANA
Middle Name:LEE
Last Name:JONES
Suffix:
Gender:F
Credentials:PHD, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24672 SAN JUAN AVE
Mailing Address - Street 2:SUITE 206
Mailing Address - City:DANA POINT
Mailing Address - State:CA
Mailing Address - Zip Code:92629-2845
Mailing Address - Country:US
Mailing Address - Phone:949-496-5262
Mailing Address - Fax:949-496-5262
Practice Address - Street 1:24672 SAN JUAN AVE
Practice Address - Street 2:SUITE 206
Practice Address - City:DANA POINT
Practice Address - State:CA
Practice Address - Zip Code:92629-2845
Practice Address - Country:US
Practice Address - Phone:949-496-5262
Practice Address - Fax:949-496-5262
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC 23669106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist