Provider Demographics
NPI:1003404385
Name:JONES, JENNIFER RACHAEL (ACMHC)
Entity type:Individual
Prefix:MS
First Name:JENNIFER
Middle Name:RACHAEL
Last Name:JONES
Suffix:
Gender:F
Credentials:ACMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 SOUTH STATE ST.
Mailing Address - Street 2:
Mailing Address - City:LINDON
Mailing Address - State:UT
Mailing Address - Zip Code:84042
Mailing Address - Country:US
Mailing Address - Phone:801-441-7144
Mailing Address - Fax:
Practice Address - Street 1:20 SOUTH STATE ST.
Practice Address - Street 2:
Practice Address - City:LINDON
Practice Address - State:UT
Practice Address - Zip Code:84042
Practice Address - Country:US
Practice Address - Phone:801-441-7144
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-04
Last Update Date:2024-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker