Provider Demographics
NPI:1891038956
Name:JONES, JALEESA HERNANDEZ (MS, LPC)
Entity Type:Individual
Prefix:MRS
First Name:JALEESA
Middle Name:HERNANDEZ
Last Name:JONES
Suffix:
Gender:F
Credentials:MS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:843 MAIN ST STE 2
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER
Mailing Address - State:CT
Mailing Address - Zip Code:06040-6041
Mailing Address - Country:US
Mailing Address - Phone:860-810-8761
Mailing Address - Fax:860-812-2147
Practice Address - Street 1:843 MAIN ST STE 2
Practice Address - Street 2:
Practice Address - City:MANCHESTER
Practice Address - State:CT
Practice Address - Zip Code:06040-6041
Practice Address - Country:US
Practice Address - Phone:203-927-6409
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-27
Last Update Date:2019-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT002860101YP2500X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional