Provider Demographics
NPI:1811502305
Name:JONES-WASHINGTON, GAYE L (LPC, CRC)
Entity type:Individual
Prefix:
First Name:GAYE
Middle Name:L
Last Name:JONES-WASHINGTON
Suffix:
Gender:F
Credentials:LPC, CRC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18411 FAWN TREE DR
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72210-7131
Mailing Address - Country:US
Mailing Address - Phone:501-313-0825
Mailing Address - Fax:
Practice Address - Street 1:18411 FAWN TREE DR
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72210-7131
Practice Address - Country:US
Practice Address - Phone:501-258-2040
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-10
Last Update Date:2024-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARP2109003101YM0800X, 225C00000X, 101YP2500X
ARA2003046101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No225C00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Counselor
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional