Provider Demographics
NPI:1811477284
Name:JONES-MORRIS, THERESA (CMBS)
Entity type:Individual
Prefix:MRS
First Name:THERESA
Middle Name:
Last Name:JONES-MORRIS
Suffix:
Gender:F
Credentials:CMBS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18155 KILMER LN
Mailing Address - Street 2:SUITE T2
Mailing Address - City:TRIANGLE
Mailing Address - State:VA
Mailing Address - Zip Code:22172-1088
Mailing Address - Country:US
Mailing Address - Phone:540-302-8808
Mailing Address - Fax:
Practice Address - Street 1:18155 KILMER LN
Practice Address - Street 2:SUITE T2
Practice Address - City:TRIANGLE
Practice Address - State:VA
Practice Address - Zip Code:22172-1088
Practice Address - Country:US
Practice Address - Phone:540-302-8808
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-15
Last Update Date:2018-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA101YM0800X, 101YP2500X, 101YP1600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional