Provider Demographics
NPI:1801345178
Name:JONES, CINDY (LMFT)
Entity type:Individual
Prefix:MS
First Name:CINDY
Middle Name:
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:PO BOX 5146
Mailing Address - Street 2:
Mailing Address - City:TRAVERSE CITY
Mailing Address - State:MI
Mailing Address - Zip Code:49696-5146
Mailing Address - Country:US
Mailing Address - Phone:858-376-7333
Mailing Address - Fax:
Practice Address - Street 1:1169 POLLARD LN
Practice Address - Street 2:
Practice Address - City:TRAVERSE CITY
Practice Address - State:MI
Practice Address - Zip Code:49696-9329
Practice Address - Country:US
Practice Address - Phone:858-376-7333
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-28
Last Update Date:2024-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLTPMF369106H00000X
MI4101006871106H00000X
TX205246106H00000X
WI1446-124106H00000X
CALMFT48959106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist