Provider Demographics
NPI:1245968700
Name:JONES, KENDRA LEIGH (ACMHC)
Entity type:Individual
Prefix:MRS
First Name:KENDRA
Middle Name:LEIGH
Last Name:JONES
Suffix:
Gender:F
Credentials:ACMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4465 W 500 N
Mailing Address - Street 2:
Mailing Address - City:CEDAR CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84721-8065
Mailing Address - Country:US
Mailing Address - Phone:435-559-3620
Mailing Address - Fax:
Practice Address - Street 1:88 E FIDDLERS CANYON RD
Practice Address - Street 2:
Practice Address - City:CEDAR CITY
Practice Address - State:UT
Practice Address - Zip Code:84721-9495
Practice Address - Country:US
Practice Address - Phone:435-559-3620
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-11
Last Update Date:2022-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT11926739-6009101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health