Provider Demographics
NPI:1023152691
Name:JONES, VANESSA GAIL
Entity type:Individual
Prefix:MRS
First Name:VANESSA
Middle Name:GAIL
Last Name:JONES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:VANESSA
Other - Middle Name:GAIL
Other - Last Name:PERSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BSSW
Mailing Address - Street 1:1500 BROADWAY ST
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14212-1845
Mailing Address - Country:US
Mailing Address - Phone:716-249-5166
Mailing Address - Fax:716-892-0175
Practice Address - Street 1:1500 BROADWAY ST
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14212-1845
Practice Address - Country:US
Practice Address - Phone:716-249-5166
Practice Address - Fax:716-892-0175
Is Sole Proprietor?:No
Enumeration Date:2007-02-16
Last Update Date:2015-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor