Provider Demographics
NPI:1750509741
Name:JONES, TONI (LPCP)
Entity Type:Individual
Prefix:
First Name:TONI
Middle Name:
Last Name:JONES
Suffix:
Gender:F
Credentials:LPCP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:125 PRIVATE DR
Mailing Address - Street 2:
Mailing Address - City:SAGLE
Mailing Address - State:ID
Mailing Address - Zip Code:83860-8826
Mailing Address - Country:US
Mailing Address - Phone:208-263-9640
Mailing Address - Fax:208-263-6649
Practice Address - Street 1:105 PINE ST
Practice Address - Street 2:SUITE 105B
Practice Address - City:SANDPOINT
Practice Address - State:ID
Practice Address - Zip Code:83864-1369
Practice Address - Country:US
Practice Address - Phone:208-263-9640
Practice Address - Fax:208-263-6649
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDLCPC-317101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor