Provider Demographics
NPI:1013774942
Name:JONES, EMERY RACHEAL-MARIE (AMFT)
Entity Type:Individual
Prefix:
First Name:EMERY
Middle Name:RACHEAL-MARIE
Last Name:JONES
Suffix:
Gender:F
Credentials:AMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30767 GATEWAY PL # 541
Mailing Address - Street 2:
Mailing Address - City:RANCHO MISSION VIEJO
Mailing Address - State:CA
Mailing Address - Zip Code:92694-1856
Mailing Address - Country:US
Mailing Address - Phone:949-290-7793
Mailing Address - Fax:
Practice Address - Street 1:546 BERNARD ST
Practice Address - Street 2:
Practice Address - City:COSTA MESA
Practice Address - State:CA
Practice Address - Zip Code:92627-2658
Practice Address - Country:US
Practice Address - Phone:949-290-7793
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-06
Last Update Date:2024-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA145288106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist