Provider Demographics
NPI:1750144572
Name:JONES, LISA RENEE (LPC)
Entity type:Individual
Prefix:
First Name:LISA
Middle Name:RENEE
Last Name:JONES
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8127 GAMBREL WAY
Mailing Address - Street 2:
Mailing Address - City:ROSHARON
Mailing Address - State:TX
Mailing Address - Zip Code:77583-0258
Mailing Address - Country:US
Mailing Address - Phone:832-653-1522
Mailing Address - Fax:
Practice Address - Street 1:2901 WILCREST DR STE 434
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77042-3399
Practice Address - Country:US
Practice Address - Phone:832-653-1522
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-05
Last Update Date:2024-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX88845101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional