Provider Demographics
NPI:1841202413
Name:JONES, EE'A
Entity type:Individual
Prefix:
First Name:EE'A
Middle Name:
Last Name:JONES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:EE'A
Other - Middle Name:
Other - Last Name:ANDERSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3422 CHAMBERS CIR
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77459-6531
Mailing Address - Country:US
Mailing Address - Phone:832-368-9350
Mailing Address - Fax:281-778-9397
Practice Address - Street 1:3422 CHAMBERS CIR
Practice Address - Street 2:
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77459-6531
Practice Address - Country:US
Practice Address - Phone:832-368-9350
Practice Address - Fax:281-778-9397
Is Sole Proprietor?:No
Enumeration Date:2006-08-12
Last Update Date:2010-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX148454502Medicaid