Provider Demographics
NPI:1659141885
Name:JONES, EMILY SHEPHERD (LAC, LPCC)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:SHEPHERD
Last Name:JONES
Suffix:
Gender:F
Credentials:LAC, LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1956 LAWRENCE ST APT 614
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80202-2228
Mailing Address - Country:US
Mailing Address - Phone:571-286-1366
Mailing Address - Fax:
Practice Address - Street 1:1956 LAWRENCE ST APT 614
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80202-2228
Practice Address - Country:US
Practice Address - Phone:571-286-1366
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-08
Last Update Date:2024-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPCC.0019560101YM0800X
COACD.0002345101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health