Provider Demographics
NPI:1679737274
Name:JONES, DONALD RAY (NCC)
Entity Type:Individual
Prefix:MR
First Name:DONALD
Middle Name:RAY
Last Name:JONES
Suffix:
Gender:M
Credentials:NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2114 N LINCOLN AVE
Mailing Address - Street 2:SUITE 108B
Mailing Address - City:LOVELAND
Mailing Address - State:CO
Mailing Address - Zip Code:80538-3859
Mailing Address - Country:US
Mailing Address - Phone:970-461-3949
Mailing Address - Fax:
Practice Address - Street 1:2114 N LINCOLN AVE
Practice Address - Street 2:SUITE 108B
Practice Address - City:LOVELAND
Practice Address - State:CO
Practice Address - Zip Code:80538-3859
Practice Address - Country:US
Practice Address - Phone:970-461-3949
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-12
Last Update Date:2008-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO10070101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
Provider Identifiers
StateIdentifier IDID TypeIssuer
11828914OtherCAQH ID
231570OtherNATIONAL CERTIFIED COUNSELOR
CO10070OtherUNLICENSED PSYCHOTHERAPIST LICENSE, STATE OF COLORADO