Provider Demographics
NPI:1134549298
Name:JONES, STEPHANIE HUNTER (MFTI)
Entity type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:HUNTER
Last Name:JONES
Suffix:
Gender:F
Credentials:MFTI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5782 HESPERIA AVE
Mailing Address - Street 2:
Mailing Address - City:ENCINO
Mailing Address - State:CA
Mailing Address - Zip Code:91316-1040
Mailing Address - Country:US
Mailing Address - Phone:818-731-7214
Mailing Address - Fax:
Practice Address - Street 1:435 N BEDFORD DR STE 313
Practice Address - Street 2:
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90210-4358
Practice Address - Country:US
Practice Address - Phone:310-888-7733
Practice Address - Fax:310-888-7783
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-16
Last Update Date:2014-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAIMF79379106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist