Provider Demographics
NPI:1942522891
Name:JONES, LAURA YANCEY (EDS, LPC)
Entity Type:Individual
Prefix:MRS
First Name:LAURA
Middle Name:YANCEY
Last Name:JONES
Suffix:
Gender:F
Credentials:EDS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:215 E BAY ST
Mailing Address - Street 2:SUITE 201A
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29401-2633
Mailing Address - Country:US
Mailing Address - Phone:843-371-1598
Mailing Address - Fax:
Practice Address - Street 1:215 E BAY ST
Practice Address - Street 2:SUITE 201A
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29401-2633
Practice Address - Country:US
Practice Address - Phone:843-371-1598
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-19
Last Update Date:2010-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC5133101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor