Provider Demographics
NPI:1316603202
Name:JONES, JAMIE JOYCE
Entity type:Individual
Prefix:
First Name:JAMIE
Middle Name:JOYCE
Last Name:JONES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5180 NELSON ST
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95820-5859
Mailing Address - Country:US
Mailing Address - Phone:916-616-7871
Mailing Address - Fax:
Practice Address - Street 1:3050 FITE CIR STE 204
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95827-1807
Practice Address - Country:US
Practice Address - Phone:916-616-7871
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-11-15
Last Update Date:2021-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA10708101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor