Provider Demographics
NPI:1255723235
Name:JONES, LIZA T (LMFT, PSYD)
Entity type:Individual
Prefix:DR
First Name:LIZA
Middle Name:T
Last Name:JONES
Suffix:
Gender:
Credentials:LMFT, PSYD
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 933
Mailing Address - Street 2:
Mailing Address - City:WILDOMAR
Mailing Address - State:CA
Mailing Address - Zip Code:92595-0933
Mailing Address - Country:US
Mailing Address - Phone:619-350-1495
Mailing Address - Fax:858-790-8300
Practice Address - Street 1:2667 CAMINO DEL RIO S STE 210-3
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92108-3707
Practice Address - Country:US
Practice Address - Phone:619-350-1495
Practice Address - Fax:858-790-8300
Is Sole Proprietor?:No
Enumeration Date:2015-02-27
Last Update Date:2025-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1835-14101YA0400X
HI440106H00000X
CA123282106H00000X, 106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA123282OtherLMFT
HI1835-14OtherCSAC
HI440OtherLMFT