Provider Demographics
NPI:1043713829
Name:JONES-NORVELL, KRYSTINA MARIE (LMFT)
Entity type:Individual
Prefix:
First Name:KRYSTINA
Middle Name:MARIE
Last Name:JONES-NORVELL
Suffix:
Gender:F
Credentials:LMFT
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 187
Mailing Address - Street 2:
Mailing Address - City:YARNELL
Mailing Address - State:AZ
Mailing Address - Zip Code:85362-0187
Mailing Address - Country:US
Mailing Address - Phone:928-968-3219
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 187
Practice Address - Street 2:
Practice Address - City:YARNELL
Practice Address - State:AZ
Practice Address - Zip Code:85362-0187
Practice Address - Country:US
Practice Address - Phone:928-968-3219
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-17
Last Update Date:2024-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist