Provider Demographics
NPI:1891572814
Name:JONES, MARTINQUE KAREE
Entity Type:Individual
Prefix:DR
First Name:MARTINQUE
Middle Name:KAREE
Last Name:JONES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1199 N BROADWAY ST APT 308
Mailing Address - Street 2:
Mailing Address - City:CARROLLTON
Mailing Address - State:TX
Mailing Address - Zip Code:75006-0017
Mailing Address - Country:US
Mailing Address - Phone:832-693-9955
Mailing Address - Fax:
Practice Address - Street 1:1199 N BROADWAY ST APT 308
Practice Address - Street 2:
Practice Address - City:CARROLLTON
Practice Address - State:TX
Practice Address - Zip Code:75006-0017
Practice Address - Country:US
Practice Address - Phone:832-693-9955
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-12
Last Update Date:2023-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX39424103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling