Provider Demographics
NPI:1710238555
Name:JONES, SHARON (LMFT)
Entity Type:Individual
Prefix:MS
First Name:SHARON
Middle Name:
Last Name:JONES
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1611 TELEGRAPH AVE
Mailing Address - Street 2:SUITE 808
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94612-2143
Mailing Address - Country:US
Mailing Address - Phone:510-545-2198
Mailing Address - Fax:
Practice Address - Street 1:1611 TELEGRAPH AVE
Practice Address - Street 2:SUITE 808
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94612-2143
Practice Address - Country:US
Practice Address - Phone:510-545-2198
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-19
Last Update Date:2012-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFT40974106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist