Provider Demographics
NPI:1003098526
Name:JONES, JULIA (LAC, DIPLOM)
Entity type:Individual
Prefix:
First Name:JULIA
Middle Name:
Last Name:JONES
Suffix:
Gender:F
Credentials:LAC, DIPLOM
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 805
Mailing Address - Street 2:
Mailing Address - City:TRABUCO CYN
Mailing Address - State:CA
Mailing Address - Zip Code:92678-0805
Mailing Address - Country:US
Mailing Address - Phone:714-580-7830
Mailing Address - Fax:
Practice Address - Street 1:824 PINE ST
Practice Address - Street 2:
Practice Address - City:MOUNT SHASTA
Practice Address - State:CA
Practice Address - Zip Code:96067-2137
Practice Address - Country:US
Practice Address - Phone:530-964-2389
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-27
Last Update Date:2025-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA11822171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist