Provider Demographics
NPI:1073320206
Name:JONES, KARA MICHELLE (LPC)
Entity type:Individual
Prefix:
First Name:KARA
Middle Name:MICHELLE
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 1:3703 SUNRIDGE LN APT 633
Mailing Address - Street 2:
Mailing Address - City:ROANOKE
Mailing Address - State:VA
Mailing Address - Zip Code:24018-3181
Mailing Address - Country:US
Mailing Address - Phone:540-613-1334
Mailing Address - Fax:
Practice Address - Street 1:3703 SUNRIDGE LN APT 633
Practice Address - Street 2:
Practice Address - City:ROANOKE
Practice Address - State:VA
Practice Address - Zip Code:24018-3181
Practice Address - Country:US
Practice Address - Phone:540-613-1334
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-11
Last Update Date:2024-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701014299101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional