Provider Demographics
NPI:1851417711
Name:JONES, DONNA DAVIS (M ED, LPC, NCC)
Entity Type:Individual
Prefix:MRS
First Name:DONNA
Middle Name:DAVIS
Last Name:JONES
Suffix:
Gender:F
Credentials:M ED, LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3050 LEAPHART RD
Mailing Address - Street 2:
Mailing Address - City:WEST COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29169-3000
Mailing Address - Country:US
Mailing Address - Phone:803-791-0495
Mailing Address - Fax:803-791-1958
Practice Address - Street 1:3050 LEAPHART RD
Practice Address - Street 2:
Practice Address - City:WEST COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29169-3000
Practice Address - Country:US
Practice Address - Phone:803-791-0495
Practice Address - Fax:803-791-1958
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC2754101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional