Provider Demographics
NPI:1952732398
Name:JONES, SHAUNA (LMSW)
Entity Type:Individual
Prefix:
First Name:SHAUNA
Middle Name:
Last Name:JONES
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4505 BRONZEWAY STREET
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75236
Mailing Address - Country:US
Mailing Address - Phone:214-467-1819
Mailing Address - Fax:
Practice Address - Street 1:4504 BRONZEWAY
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75236
Practice Address - Country:US
Practice Address - Phone:214-467-1819
Practice Address - Fax:214-467-1898
Is Sole Proprietor?:Yes
Enumeration Date:2013-12-11
Last Update Date:2013-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX559542865M2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2865M2000XHospitalsMilitary HospitalMilitary General Acute Care Hospital