Provider Demographics
NPI:1184139305
Name:JONES, KAREN MICHELLE (LPC)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:MICHELLE
Last Name:JONES
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:109 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:PENNINGTON GAP
Mailing Address - State:VA
Mailing Address - Zip Code:24277-3211
Mailing Address - Country:US
Mailing Address - Phone:276-546-3330
Mailing Address - Fax:276-546-3321
Practice Address - Street 1:109 MAIN ST
Practice Address - Street 2:
Practice Address - City:PENNINGTON GAP
Practice Address - State:VA
Practice Address - Zip Code:24277-3211
Practice Address - Country:US
Practice Address - Phone:276-546-3330
Practice Address - Fax:276-546-3321
Is Sole Proprietor?:No
Enumeration Date:2017-12-11
Last Update Date:2017-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701007397101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional