Provider Demographics
NPI:1821212531
Name:CONNIE LOUGHREY-JONES AND MICHAEL R JONES, A PARTNERSHIP
Entity Type:Organization
Organization Name:CONNIE LOUGHREY-JONES AND MICHAEL R JONES, A PARTNERSHIP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:R
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:949-851-3100
Mailing Address - Street 1:4590 MACARTHUR BLVD
Mailing Address - Street 2:SUITE 660
Mailing Address - City:NEWPORT BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92660-2030
Mailing Address - Country:US
Mailing Address - Phone:949-851-3100
Mailing Address - Fax:949-851-4347
Practice Address - Street 1:4590 MACARTHUR BLVD
Practice Address - Street 2:SUITE 660
Practice Address - City:NEWPORT BEACH
Practice Address - State:CA
Practice Address - Zip Code:92660-2030
Practice Address - Country:US
Practice Address - Phone:949-851-3100
Practice Address - Fax:949-851-4347
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY14340103TC0700X
CAMFT7097106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty