Provider Demographics
NPI:1821430364
Name:JONES, QUEENA R (LCPC)
Entity Type:Individual
Prefix:
First Name:QUEENA
Middle Name:R
Last Name:JONES
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:SHAQUEENA
Other - Middle Name:R
Other - Last Name:HALL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, NCC
Mailing Address - Street 1:3308 BIRCH TREE LN
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89117-3458
Mailing Address - Country:US
Mailing Address - Phone:702-533-2186
Mailing Address - Fax:
Practice Address - Street 1:3308 BIRCH TREE LN
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89117-3458
Practice Address - Country:US
Practice Address - Phone:702-533-2186
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-25
Last Update Date:2024-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV1170101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional