Provider Demographics
NPI:1396804738
Name:JONES, LINDA (LAC)
Entity type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:
Last Name:JONES
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:220 GRAND AVE
Mailing Address - Street 2:
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59101-5922
Mailing Address - Country:US
Mailing Address - Phone:406-252-7510
Mailing Address - Fax:406-252-7510
Practice Address - Street 1:220 GRAND AVE
Practice Address - Street 2:
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59101-5922
Practice Address - Country:US
Practice Address - Phone:406-252-7510
Practice Address - Fax:406-252-7510
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-08
Last Update Date:2008-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT393101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT76230OtherBLUE CROSS-SHIELD OF MT