Provider Demographics
NPI:1710339205
Name:JONES, ZEREK (MA, NCC, PPC 1191)
Entity Type:Individual
Prefix:
First Name:ZEREK
Middle Name:
Last Name:JONES
Suffix:
Gender:M
Credentials:MA, NCC, PPC 1191
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1920 EVANS AVE
Mailing Address - Street 2:
Mailing Address - City:CHEYENNE
Mailing Address - State:WY
Mailing Address - Zip Code:82001
Mailing Address - Country:US
Mailing Address - Phone:307-632-8064
Mailing Address - Fax:307-632-6131
Practice Address - Street 1:100 CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:CHEYENNE
Practice Address - State:WY
Practice Address - Zip Code:82007-1330
Practice Address - Country:US
Practice Address - Phone:307-632-8064
Practice Address - Fax:307-632-6131
Is Sole Proprietor?:No
Enumeration Date:2016-07-07
Last Update Date:2021-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health