Provider Demographics
NPI:1316777006
Name:JONES, NINA RENEE (MS,CSAC,LPC)
Entity type:Individual
Prefix:
First Name:NINA
Middle Name:RENEE
Last Name:JONES
Suffix:
Gender:F
Credentials:MS,CSAC,LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:601 HIGH ST STE 102
Mailing Address - Street 2:
Mailing Address - City:PORTSMOUTH
Mailing Address - State:VA
Mailing Address - Zip Code:23704-3423
Mailing Address - Country:US
Mailing Address - Phone:757-227-7665
Mailing Address - Fax:
Practice Address - Street 1:601 HIGH ST STE 102
Practice Address - Street 2:
Practice Address - City:PORTSMOUTH
Practice Address - State:VA
Practice Address - Zip Code:23704-3423
Practice Address - Country:US
Practice Address - Phone:757-227-7665
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-06
Last Update Date:2024-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA8293-02-033101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty