Provider Demographics
NPI:1265620702
Name:JONES, VANESSA MARIE (PHD, NCC, LPCC/S)
Entity type:Individual
Prefix:DR
First Name:VANESSA
Middle Name:MARIE
Last Name:JONES
Suffix:
Gender:F
Credentials:PHD, NCC, LPCC/S
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 664
Mailing Address - Street 2:
Mailing Address - City:YOUNGSTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:44501-0664
Mailing Address - Country:US
Mailing Address - Phone:330-744-9020
Mailing Address - Fax:
Practice Address - Street 1:100 BROADWAY AVE
Practice Address - Street 2:
Practice Address - City:YOUNGSTOWN
Practice Address - State:OH
Practice Address - Zip Code:44505-2789
Practice Address - Country:US
Practice Address - Phone:330-744-9020
Practice Address - Fax:330-744-9020
Is Sole Proprietor?:No
Enumeration Date:2007-10-10
Last Update Date:2017-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
87391101YM0800X
OHE0500014 -SUPV101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health