Provider Demographics
NPI:1821488115
Name:JONES, JOSEPH D (LMFT)
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:D
Last Name:JONES
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3300 GLENWOOD
Mailing Address - Street 2:
Mailing Address - City:EUREKA
Mailing Address - State:CA
Mailing Address - Zip Code:95501-8938
Mailing Address - Country:US
Mailing Address - Phone:707-444-8293
Mailing Address - Fax:707-444-8298
Practice Address - Street 1:3300 GLENWOOD ST
Practice Address - Street 2:
Practice Address - City:EUREKA
Practice Address - State:CA
Practice Address - Zip Code:95501-3463
Practice Address - Country:US
Practice Address - Phone:707-444-8293
Practice Address - Fax:707-444-8298
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-26
Last Update Date:2021-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAIMF91222101YM0800X
CA125652101YM0800X, 106H00000X
CA171M00000X
CA91222171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No171M00000XOther Service ProvidersCase Manager/Care Coordinator