Provider Demographics
NPI:1649679168
Name:WINCHELL JONES, ELISABETH (LMFT)
Entity type:Individual
Prefix:
First Name:ELISABETH
Middle Name:
Last Name:WINCHELL 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 1:28442 BROADSTONE WAY
Mailing Address - Street 2:
Mailing Address - City:MENIFEE
Mailing Address - State:CA
Mailing Address - Zip Code:92584-8866
Mailing Address - Country:US
Mailing Address - Phone:619-822-7098
Mailing Address - Fax:
Practice Address - Street 1:28442 BROADSTONE WAY
Practice Address - Street 2:
Practice Address - City:MENIFEE
Practice Address - State:CA
Practice Address - Zip Code:92584-8866
Practice Address - Country:US
Practice Address - Phone:619-822-7098
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-20
Last Update Date:2023-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA104978106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist