Provider Demographics
NPI:1134975808
Name:JONES, LENNON (MFT)
Entity type:Individual
Prefix:
First Name:LENNON
Middle Name:
Last Name:JONES
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6290 S ZELDA DR
Mailing Address - Street 2:
Mailing Address - City:ST GEORGE
Mailing Address - State:UT
Mailing Address - Zip Code:84790-1895
Mailing Address - Country:US
Mailing Address - Phone:435-313-9080
Mailing Address - Fax:
Practice Address - Street 1:85 N 300 W
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:UT
Practice Address - Zip Code:84780-3562
Practice Address - Country:US
Practice Address - Phone:435-414-8658
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-24
Last Update Date:2024-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist