Provider Demographics
NPI:1831555150
Name:JONES, STEPHANIE DEE (LPCC)
Entity type:Individual
Prefix:MRS
First Name:STEPHANIE
Middle Name:DEE
Last Name:JONES
Suffix:
Gender:F
Credentials:LPCC
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 976
Mailing Address - Street 2:
Mailing Address - City:CORBIN
Mailing Address - State:KY
Mailing Address - Zip Code:40702-0976
Mailing Address - Country:US
Mailing Address - Phone:606-280-3991
Mailing Address - Fax:
Practice Address - Street 1:698 FAWN VALLEY RD
Practice Address - Street 2:
Practice Address - City:CORBIN
Practice Address - State:KY
Practice Address - Zip Code:40701-7473
Practice Address - Country:US
Practice Address - Phone:606-280-3991
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-01-04
Last Update Date:2024-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY287828101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health