Provider Demographics
NPI:1700035128
Name:JONES, KIHM A (LPC)
Entity Type:Individual
Prefix:MS
First Name:KIHM
Middle Name:A
Last Name:JONES
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4421 79TH ST
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79424-3336
Mailing Address - Country:US
Mailing Address - Phone:806-300-2386
Mailing Address - Fax:806-472-3497
Practice Address - Street 1:2731 81ST ST
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79423-2229
Practice Address - Country:US
Practice Address - Phone:806-300-2386
Practice Address - Fax:806-472-3497
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-10
Last Update Date:2008-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX14086101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional