Provider Demographics
NPI:1205285319
Name:JONES, STELLA L (LMFT)
Entity type:Individual
Prefix:
First Name:STELLA
Middle Name:L
Last Name:JONES
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:SAHAR
Other - Middle Name:
Other - Last Name:JONES
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMFT
Mailing Address - Street 1:7733 SE SALMON ST
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97215-3036
Mailing Address - Country:US
Mailing Address - Phone:414-522-7558
Mailing Address - Fax:844-440-2103
Practice Address - Street 1:7733 SE SALMON ST
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97215-3036
Practice Address - Country:US
Practice Address - Phone:414-522-7558
Practice Address - Fax:844-440-2103
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-09
Last Update Date:2024-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORT2417101YM0800X
ORT-16-336101YA0400X
OR101YM0800X
390200000X
OR19-QMHPC-00199101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR500732223Medicaid
OR500732223Medicaid