Provider Demographics
NPI:1447870316
Name:JONES, CARRIE LYNELL (LPC)
Entity type:Individual
Prefix:MRS
First Name:CARRIE
Middle Name:LYNELL
Last Name:JONES
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:914 CREEK VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:MESQUITE
Mailing Address - State:TX
Mailing Address - Zip Code:75181-1240
Mailing Address - Country:US
Mailing Address - Phone:214-729-4287
Mailing Address - Fax:972-308-6354
Practice Address - Street 1:914 CREEK VALLEY RD
Practice Address - Street 2:
Practice Address - City:MESQUITE
Practice Address - State:TX
Practice Address - Zip Code:75181-1240
Practice Address - Country:US
Practice Address - Phone:214-729-4287
Practice Address - Fax:972-308-6354
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-21
Last Update Date:2020-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX78383101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional