Provider Demographics
NPI:1649744954
Name:JONES, JANELL L (ACMHC)
Entity Type:Individual
Prefix:MRS
First Name:JANELL
Middle Name:L
Last Name:JONES
Suffix:
Gender:F
Credentials:ACMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:613 S 620 E
Mailing Address - Street 2:
Mailing Address - City:HEBER CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84032-3873
Mailing Address - Country:US
Mailing Address - Phone:435-671-6602
Mailing Address - Fax:435-604-7631
Practice Address - Street 1:228 W 200 S STE 2E
Practice Address - Street 2:
Practice Address - City:KAMAS
Practice Address - State:UT
Practice Address - Zip Code:84036-9010
Practice Address - Country:US
Practice Address - Phone:801-360-6955
Practice Address - Fax:435-604-7631
Is Sole Proprietor?:Yes
Enumeration Date:2019-01-20
Last Update Date:2019-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT10980868-6009101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health