Provider Demographics
NPI:1790091148
Name:JONES, DAYNA FERGUSON (LPC)
Entity Type:Individual
Prefix:
First Name:DAYNA
Middle Name:FERGUSON
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 1:1265 INTERSTATE PKWY STE B
Mailing Address - Street 2:
Mailing Address - City:AUGUSTA
Mailing Address - State:GA
Mailing Address - Zip Code:30909-6481
Mailing Address - Country:US
Mailing Address - Phone:706-495-3812
Mailing Address - Fax:
Practice Address - Street 1:1265 INTERSTATE PKWY STE B
Practice Address - Street 2:
Practice Address - City:AUGUSTA
Practice Address - State:GA
Practice Address - Zip Code:30909-6481
Practice Address - Country:US
Practice Address - Phone:706-993-8706
Practice Address - Fax:706-204-5414
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-24
Last Update Date:2022-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC006017101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional