Provider Demographics
NPI:1841214814
Name:JONES, LARRY DAVID (LMHC)
Entity Type:Individual
Prefix:MR
First Name:LARRY
Middle Name:DAVID
Last Name:JONES
Suffix:
Gender:M
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7589 MEADOW VIOLET CT
Mailing Address - Street 2:
Mailing Address - City:AVON
Mailing Address - State:IN
Mailing Address - Zip Code:46123-7631
Mailing Address - Country:US
Mailing Address - Phone:317-272-2260
Mailing Address - Fax:
Practice Address - Street 1:69 E GARNER RD
Practice Address - Street 2:SUITE 600
Practice Address - City:BROWNSBURG
Practice Address - State:IN
Practice Address - Zip Code:46112-7698
Practice Address - Country:US
Practice Address - Phone:317-858-2211
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN39000217A101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health