Provider Demographics
NPI:1831582832
Name:JONES, DORIS MCKINNEY (PHD)
Entity type:Individual
Prefix:DR
First Name:DORIS
Middle Name:MCKINNEY
Last Name:JONES
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:DORIS
Other - Middle Name:FAYE
Other - Last Name:JONES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3323 N MIDLAND DR
Mailing Address - Street 2:#113-177
Mailing Address - City:MIDLAND
Mailing Address - State:TX
Mailing Address - Zip Code:79707-4608
Mailing Address - Country:US
Mailing Address - Phone:469-510-8154
Mailing Address - Fax:
Practice Address - Street 1:208 S MARIENFELD ST
Practice Address - Street 2:STE 136
Practice Address - City:MIDLAND
Practice Address - State:TX
Practice Address - Zip Code:79701-5113
Practice Address - Country:US
Practice Address - Phone:469-510-8154
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-03-15
Last Update Date:2015-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral
No101Y00000XBehavioral Health & Social Service ProvidersCounselor