Provider Demographics
NPI:1831648971
Name:JONES, CHRISTEL (MFT)
Entity Type:Individual
Prefix:MS
First Name:CHRISTEL
Middle Name:
Last Name:JONES
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 SE FOUR WINDS DR
Mailing Address - Street 2:214
Mailing Address - City:STUART
Mailing Address - State:FL
Mailing Address - Zip Code:34996-1356
Mailing Address - Country:US
Mailing Address - Phone:772-497-4870
Mailing Address - Fax:
Practice Address - Street 1:200 SE FOUR WINDS DR
Practice Address - Street 2:214
Practice Address - City:STUART
Practice Address - State:FL
Practice Address - Zip Code:34996-1356
Practice Address - Country:US
Practice Address - Phone:772-497-4870
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-30
Last Update Date:2016-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL3600339300Medicaid