Provider Demographics
NPI:1245662915
Name:JONES, KATRINA J (MS, LCMFT, RPT)
Entity type:Individual
Prefix:MRS
First Name:KATRINA
Middle Name:J
Last Name:JONES
Suffix:
Gender:F
Credentials:MS, LCMFT, RPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 325
Mailing Address - Street 2:
Mailing Address - City:BELOIT
Mailing Address - State:KS
Mailing Address - Zip Code:67420-0325
Mailing Address - Country:US
Mailing Address - Phone:785-450-1266
Mailing Address - Fax:
Practice Address - Street 1:205 N WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:BELOIT
Practice Address - State:KS
Practice Address - Zip Code:67420-2728
Practice Address - Country:US
Practice Address - Phone:785-450-1266
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-05
Last Update Date:2024-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSLCMFT 2764106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist