Provider Demographics
NPI:1669491445
Name:JONES, EUGENE GORDON JR (LPC)
Entity Type:Individual
Prefix:
First Name:EUGENE
Middle Name:GORDON
Last Name:JONES
Suffix:JR
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8212 ITHACA AVE
Mailing Address - Street 2:STE E-6-C
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79423-2632
Mailing Address - Country:US
Mailing Address - Phone:806-785-7441
Mailing Address - Fax:806-792-3690
Practice Address - Street 1:8212 ITHACA AVE
Practice Address - Street 2:STE E-6-C
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79423-2632
Practice Address - Country:US
Practice Address - Phone:806-785-7441
Practice Address - Fax:806-792-3690
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX13553101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor