Provider Demographics
NPI:1912397852
Name:JONES, YVETTE (LLPC)
Entity Type:Individual
Prefix:MRS
First Name:YVETTE
Middle Name:
Last Name:JONES
Suffix:
Gender:F
Credentials:LLPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28516 ADLER DR
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:MI
Mailing Address - Zip Code:48088-4223
Mailing Address - Country:US
Mailing Address - Phone:313-969-2348
Mailing Address - Fax:586-299-2002
Practice Address - Street 1:28516 ADLER DR
Practice Address - Street 2:
Practice Address - City:WARREN
Practice Address - State:MI
Practice Address - Zip Code:48088-4223
Practice Address - Country:US
Practice Address - Phone:313-969-2348
Practice Address - Fax:586-299-2002
Is Sole Proprietor?:No
Enumeration Date:2015-01-30
Last Update Date:2020-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401014626101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional