Provider Demographics
NPI:1437035888
Name:JONES, KIMBERLY (LPC)
Entity type:Individual
Prefix:
First Name:KIMBERLY
Middle Name:
Last Name:JONES
Suffix:
Gender:X
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:126 EMMANUEL CHURCH RD
Mailing Address - Street 2:
Mailing Address - City:MOUNT SOLON
Mailing Address - State:VA
Mailing Address - Zip Code:22843-2035
Mailing Address - Country:US
Mailing Address - Phone:703-772-6199
Mailing Address - Fax:
Practice Address - Street 1:126 EMMANUEL CHURCH RD
Practice Address - Street 2:
Practice Address - City:MOUNT SOLON
Practice Address - State:VA
Practice Address - Zip Code:22843-2035
Practice Address - Country:US
Practice Address - Phone:703-772-6199
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-12
Last Update Date:2025-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701013767101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health