Provider Demographics
NPI:1639714488
Name:JONES-BROWN, DAISY ANNETTE (LPC-S)
Entity Type:Individual
Prefix:
First Name:DAISY
Middle Name:ANNETTE
Last Name:JONES-BROWN
Suffix:
Gender:F
Credentials:LPC-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:255 MOCKINGBIRD LN
Mailing Address - Street 2:
Mailing Address - City:CALEDONIA
Mailing Address - State:MS
Mailing Address - Zip Code:39740-9251
Mailing Address - Country:US
Mailing Address - Phone:701-213-6792
Mailing Address - Fax:
Practice Address - Street 1:3504 BLUECUTT RD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:MS
Practice Address - Zip Code:39705-1325
Practice Address - Country:US
Practice Address - Phone:701-213-6792
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-11-14
Last Update Date:2019-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS0994101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health