Provider Demographics
NPI:1447921572
Name:JONES, VELMA M (CDCA, PRS)
Entity type:Individual
Prefix:
First Name:VELMA
Middle Name:M
Last Name:JONES
Suffix:
Gender:F
Credentials:CDCA, PRS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2554 W 25TH ST
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44113-4700
Mailing Address - Country:US
Mailing Address - Phone:216-781-2250
Mailing Address - Fax:216-781-2252
Practice Address - Street 1:2554 W 25TH ST
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44113-4700
Practice Address - Country:US
Practice Address - Phone:216-781-2250
Practice Address - Fax:216-781-2252
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-28
Last Update Date:2021-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No175T00000XOther Service ProvidersPeer Specialist