Provider Demographics
NPI:1245629633
Name:JONES, FORD CHALON JR (LPC)
Entity type:Individual
Prefix:MR
First Name:FORD
Middle Name:CHALON
Last Name:JONES
Suffix:JR
Gender:M
Credentials:LPC
Other - Prefix:MR
Other - First Name:SHAY
Other - Middle Name:
Other - Last Name:JONES
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LPC
Mailing Address - Street 1:22009 KYLE DR
Mailing Address - Street 2:
Mailing Address - City:SPICEWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:78669-2221
Mailing Address - Country:US
Mailing Address - Phone:512-790-1816
Mailing Address - Fax:
Practice Address - Street 1:22009 KYLE DR
Practice Address - Street 2:
Practice Address - City:SPICEWOOD
Practice Address - State:TX
Practice Address - Zip Code:78669-2221
Practice Address - Country:US
Practice Address - Phone:512-790-1816
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-22
Last Update Date:2023-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX68507101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional