Provider Demographics
NPI:1396951166
Name:JONES, JUDITH PATRICIA (LMFT)
Entity type:Individual
Prefix:MS
First Name:JUDITH
Middle Name:PATRICIA
Last Name:JONES
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9732 PYRAMID WAY
Mailing Address - Street 2:PMB 413
Mailing Address - City:SPARKS
Mailing Address - State:NV
Mailing Address - Zip Code:89436-6258
Mailing Address - Country:US
Mailing Address - Phone:775-229-3026
Mailing Address - Fax:
Practice Address - Street 1:9732 PYRAMID WAY
Practice Address - Street 2:PMB 413
Practice Address - City:SPARKS
Practice Address - State:NV
Practice Address - Zip Code:89436-6258
Practice Address - Country:US
Practice Address - Phone:775-229-3026
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA27744106H00000X
NC979106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist