Provider Demographics
NPI:1821298290
Name:JONES, MICHAEL EVERETT (MFT)
Entity Type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:EVERETT
Last Name:JONES
Suffix:
Gender:M
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:127 N MADISON AVE
Mailing Address - Street 2:SUITE 302
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91101-1712
Mailing Address - Country:US
Mailing Address - Phone:818-974-2158
Mailing Address - Fax:
Practice Address - Street 1:127 N MADISON AVE
Practice Address - Street 2:SUITE 302
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91101-1712
Practice Address - Country:US
Practice Address - Phone:818-974-2158
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-23
Last Update Date:2007-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC43599106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist