Provider Demographics
NPI:1093539439
Name:JONES, MELISSA D (PHD, LPC, NCC)
Entity type:Individual
Prefix:DR
First Name:MELISSA
Middle Name:D
Last Name:JONES
Suffix:
Gender:F
Credentials:PHD, LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:305 BOWENS MILL DR
Mailing Address - Street 2:
Mailing Address - City:BONAIRE
Mailing Address - State:GA
Mailing Address - Zip Code:31005-3170
Mailing Address - Country:US
Mailing Address - Phone:478-714-1496
Mailing Address - Fax:
Practice Address - Street 1:305 BOWENS MILL DR
Practice Address - Street 2:
Practice Address - City:BONAIRE
Practice Address - State:GA
Practice Address - Zip Code:31005-3170
Practice Address - Country:US
Practice Address - Phone:478-714-1496
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-12
Last Update Date:2024-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC010617101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional