Provider Demographics
NPI:1679091276
Name:JONES, VALORIE ANTOINETTE (LPC, CRC)
Entity Type:Individual
Prefix:MRS
First Name:VALORIE
Middle Name:ANTOINETTE
Last Name:JONES
Suffix:
Gender:F
Credentials:LPC, CRC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1775 PARKER RD SE STE C210
Mailing Address - Street 2:
Mailing Address - City:CONYERS
Mailing Address - State:GA
Mailing Address - Zip Code:30094-6676
Mailing Address - Country:US
Mailing Address - Phone:678-487-3737
Mailing Address - Fax:770-679-4868
Practice Address - Street 1:1775 PARKER RD SE STE C210
Practice Address - Street 2:
Practice Address - City:CONYERS
Practice Address - State:GA
Practice Address - Zip Code:30094-6676
Practice Address - Country:US
Practice Address - Phone:678-487-3737
Practice Address - Fax:770-679-4868
Is Sole Proprietor?:Yes
Enumeration Date:2017-09-02
Last Update Date:2021-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAAPC005572101YM0800X
GA011594101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health