Provider Demographics
NPI:1457698466
Name:JONES, ELISE C (MA, LPCI, LMHC)
Entity Type:Individual
Prefix:MS
First Name:ELISE
Middle Name:C
Last Name:JONES
Suffix:
Gender:F
Credentials:MA, LPCI, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4400 NE 77TH AVE
Mailing Address - Street 2:SUITE 275
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98662-6829
Mailing Address - Country:US
Mailing Address - Phone:360-597-7200
Mailing Address - Fax:360-713-6102
Practice Address - Street 1:4400 NE 77TH AVE.,
Practice Address - Street 2:SUITE 275
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98662
Practice Address - Country:US
Practice Address - Phone:503-430-7262
Practice Address - Fax:503-412-8226
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-10
Last Update Date:2014-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health