Provider Demographics
NPI:1336383421
Name:JONES, LATANYA CATRICE
Entity Type:Individual
Prefix:
First Name:LATANYA
Middle Name:CATRICE
Last Name:JONES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:320 NW 13TH TER
Mailing Address - Street 2:
Mailing Address - City:CAPE CORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33993-1052
Mailing Address - Country:US
Mailing Address - Phone:239-826-0391
Mailing Address - Fax:239-433-6706
Practice Address - Street 1:8961 DANIELS CENTER DR
Practice Address - Street 2:SUITE 401
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33912-0314
Practice Address - Country:US
Practice Address - Phone:239-433-6700
Practice Address - Fax:239-433-6706
Is Sole Proprietor?:No
Enumeration Date:2009-04-21
Last Update Date:2009-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker