Provider Demographics
NPI:1255857744
Name:JONES, AMANDA BROOK (MA, LPCI)
Entity type:Individual
Prefix:
First Name:AMANDA
Middle Name:BROOK
Last Name:JONES
Suffix:
Gender:F
Credentials:MA, LPCI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21824 AGARITO LN
Mailing Address - Street 2:
Mailing Address - City:SPICEWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:78669-6902
Mailing Address - Country:US
Mailing Address - Phone:512-992-1474
Mailing Address - Fax:830-637-7438
Practice Address - Street 1:606 AVENUE J
Practice Address - Street 2:
Practice Address - City:MARBLE FALLS
Practice Address - State:TX
Practice Address - Zip Code:78654-5146
Practice Address - Country:US
Practice Address - Phone:830-693-0530
Practice Address - Fax:830-637-7438
Is Sole Proprietor?:No
Enumeration Date:2017-08-17
Last Update Date:2017-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX78035101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional