Provider Demographics
NPI:1811689755
Name:JONES, RITA (PLPC)
Entity type:Individual
Prefix:
First Name:RITA
Middle Name:
Last Name:JONES
Suffix:
Gender:F
Credentials:PLPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:104 MONTICELLO DR
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:LA
Mailing Address - Zip Code:71203-2919
Mailing Address - Country:US
Mailing Address - Phone:318-791-9038
Mailing Address - Fax:
Practice Address - Street 1:617 E MADISON AVE
Practice Address - Street 2:
Practice Address - City:BASTROP
Practice Address - State:LA
Practice Address - Zip Code:71220-3833
Practice Address - Country:US
Practice Address - Phone:318-239-3890
Practice Address - Fax:318-239-3891
Is Sole Proprietor?:No
Enumeration Date:2023-05-22
Last Update Date:2023-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAPLC9531101Y00000X
101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor