Provider Demographics
NPI:1457624017
Name:JONES, RAMONA REGENA (LPC, LAC, CCS)
Entity Type:Individual
Prefix:MS
First Name:RAMONA
Middle Name:REGENA
Last Name:JONES
Suffix:
Gender:F
Credentials:LPC, LAC, CCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1679 S REUNION DR
Mailing Address - Street 2:
Mailing Address - City:SHREVEPORT
Mailing Address - State:LA
Mailing Address - Zip Code:71118-2248
Mailing Address - Country:US
Mailing Address - Phone:318-674-0065
Mailing Address - Fax:318-687-1775
Practice Address - Street 1:5537 LAY STREET
Practice Address - Street 2:
Practice Address - City:GILLIAM
Practice Address - State:LA
Practice Address - Zip Code:71029
Practice Address - Country:US
Practice Address - Phone:318-674-0065
Practice Address - Fax:318-687-1775
Is Sole Proprietor?:No
Enumeration Date:2012-02-13
Last Update Date:2014-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA1093101YA0400X
LA3711101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)